MEDICARE: SOMEONE WHO CARES HOME HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1010710	IL

General Provider Information

NPI Number	:	1215136312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOMEONE WHO CARES HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	2644 DEMPSTER ST STE 101
Second Line	:
City	:	PARK RIDGE
State	:	IL
Zip	:	60068-8430
Country	:	US
Telephone Number	:	847-813-9785
Fax Number	:	847-813-9486

Provider Business Practice Location Address
First Line	:	4001 W DEVON AVE STE 336
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-4526
Country	:	US
Telephone Number	:	847-813-9785
Fax Number	:	847-813-9486

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. SAMUEL A CHOI
Credential	:
Telephone Number	:	847-813-9785

Provider Enumeration Date	:	07/17/2007
Last Update Date	:	12/06/2021

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