Healthcare Provider Details

I. General information

NPI: 1225348501
Provider Name (Legal Business Name): CEM HOME HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2010
Last Update Date: 10/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 W 139TH ST
ROBBINS IL
60472-1804
US

IV. Provider business mailing address

3800 W 139TH ST
ROBBINS IL
60472-1804
US

V. Phone/Fax

Practice location:
  • Phone: 708-374-2847
  • Fax:
Mailing address:
  • Phone: 708-374-2847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIL

VIII. Authorized Official

Name: MRS. EVANGELINE S MONDANE
Title or Position: ADMINISTRATOR
Credential:
Phone: 708-374-2847