=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184922775
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAREFORCE HOMEHEALTH INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2011
-----------------------------------------------------
Last Update Date | 10/27/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9933 LAWLER AVE STE 331
-----------------------------------------------------
City | SKOKIE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60077-3783
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-388-0600
-----------------------------------------------------
Fax | 847-979-2273
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9933 LAWLER AVE STE 331
-----------------------------------------------------
City | SKOKIE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60077-3783
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-388-0600
-----------------------------------------------------
Fax | 847-979-2273
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | RAYMOND DELEON
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 847-388-0060
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | IL1011370
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------