MEDICARE: CITYWIDE HOME HEALTH SERVICES, 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		IL

General Provider Information

NPI Number	:	1457598583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITYWIDE HOME HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	415 W GOLF RD STE 52
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-3923
Country	:	US
Telephone Number	:	847-718-1800
Fax Number	:	847-718-1801

Provider Business Practice Location Address
First Line	:	415 W GOLF RD STE 52
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-3923
Country	:	US
Telephone Number	:	847-718-1800
Fax Number	:	847-718-1801

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. DONNA CASTILLO
Credential	:	RN
Telephone Number	:	847-718-1800

Provider Enumeration Date	:	01/12/2009
Last Update Date	:	07/21/2022

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