Healthcare Provider Details

I. General information

NPI: 1649812538
Provider Name (Legal Business Name): PSHC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2019
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 VILLAGE CIR UNIT A
WILLOW SPRINGS IL
60480-1812
US

IV. Provider business mailing address

300 VILLAGE CIR UNIT A
WILLOW SPRINGS IL
60480-1812
US

V. Phone/Fax

Practice location:
  • Phone: 708-639-4342
  • Fax: 708-639-4349
Mailing address:
  • Phone: 708-639-4342
  • Fax: 708-639-4349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: VALERIE HUTCHINSON
Title or Position: OWNER
Credential:
Phone: 708-299-4364