Healthcare Provider Details

I. General information

NPI: 1770605032
Provider Name (Legal Business Name): BECAUSE WE CARE TOO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2007
Last Update Date: 05/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 W 144TH ST
RIVERDALE IL
60827-2644
US

IV. Provider business mailing address

404 W 144TH ST
RIVERDALE IL
60827-2644
US

V. Phone/Fax

Practice location:
  • Phone: 708-841-0347
  • Fax: 708-260-9396
Mailing address:
  • Phone: 708-841-0347
  • Fax: 708-260-9396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LYNNETTE DEGRAFFENREID
Title or Position: PRESIDENT
Credential:
Phone: 708-841-0347