Healthcare Provider Details

I. General information

NPI: 1902443435
Provider Name (Legal Business Name): INDUS HEALTHCARE STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2019
Last Update Date: 12/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 N NORTHWEST HWY STE 365
PARK RIDGE IL
60068-6404
US

IV. Provider business mailing address

46 JAMES CT
GLENVIEW IL
60025-4841
US

V. Phone/Fax

Practice location:
  • Phone: 847-393-8901
  • Fax:
Mailing address:
  • Phone: 224-475-3120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KINZA ZAFAR
Title or Position: CEO
Credential:
Phone: 224-475-3120