=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770518755
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | O & P HOME HEALTH CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/11/2006
-----------------------------------------------------
Last Update Date | 02/18/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4950 MAIN ST
-----------------------------------------------------
City | SKOKIE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60077-5205
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-329-7050
-----------------------------------------------------
Fax | 847-329-7051
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4950 MAIN ST
-----------------------------------------------------
City | SKOKIE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60077-5205
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-329-7050
-----------------------------------------------------
Fax | 847-329-7051
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MRS. JULITA A OLMOS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 847-329-7050
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | IL1010373
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------