=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477741312
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALTH CARE USA INCORPORATED
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2007
-----------------------------------------------------
Last Update Date | 10/18/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9933 LAWLER AVE STE 335
-----------------------------------------------------
City | SKOKIE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60077-3783
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-679-0541
-----------------------------------------------------
Fax | 847-679-6206
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9933 LAWLER AVE STE 335
-----------------------------------------------------
City | SKOKIE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60077-3783
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-679-0541
-----------------------------------------------------
Fax | 847-679-6206
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MARIA LOURDES ESUERTE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 847-679-0541
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 1799526
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 1011870
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------