Healthcare Provider Details

I. General information

NPI: 1306974159
Provider Name (Legal Business Name): ALMOST HOME KIDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 06/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 S 721 ROUTE 53
NAPERVILLE IL
60540
US

IV. Provider business mailing address

7 S 721 ROUTE 53
NAPERVILLE IL
60540
US

V. Phone/Fax

Practice location:
  • Phone: 630-271-9155
  • Fax: 630-271-9186
Mailing address:
  • Phone: 630-271-9155
  • Fax: 630-271-9186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number4000020
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number4000020
License Number StateIL

VIII. Authorized Official

Name: MRS. DEBORAH A. GRISKO
Title or Position: PRESIDENT & CEO
Credential: RN
Phone: 630-271-9155