Healthcare Provider Details
I. General information
NPI: 1124486386
Provider Name (Legal Business Name): ESJAYS HELPING HANDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/03/2016
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
226 W JUDD ST STE 2A
WOODSTOCK IL
60098-3158
US
IV. Provider business mailing address
8792 SHADE TREE CIR
VILLAGE OF LAKEWOOD IL
60014-5306
US
V. Phone/Fax
- Phone: 815-356-2000
- Fax: 815-459-2830
- Phone: 815-356-0200
- Fax: 815-209-0672
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOEL
DAVID
CORUSH
Title or Position: PRESIDENT
Credential:
Phone: 815-356-0200