Healthcare Provider Details

I. General information

NPI: 1982186755
Provider Name (Legal Business Name): AISHLING COMPANION HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2018
Last Update Date: 08/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13255 SOUTHWEST HWY
ORLAND PARK IL
60462-1362
US

IV. Provider business mailing address

13255 SOUTHWEST HWY
ORLAND PARK IL
60462-1362
US

V. Phone/Fax

Practice location:
  • Phone: 708-361-7845
  • Fax: 708-361-7843
Mailing address:
  • Phone: 708-361-7845
  • Fax: 708-361-7843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateIL

VIII. Authorized Official

Name: T'KIRA SILER-WILKERSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 708-361-7845