MEDICARE: CARING CARE HOMECARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1669863916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING CARE HOMECARE INC

Provider Business Mailing Address
First Line	:	3709 W 63RD ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-4022
Country	:	US
Telephone Number	:	773-655-3024
Fax Number	:

Provider Business Practice Location Address
First Line	:	3709 W 63RD ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-4022
Country	:	US
Telephone Number	:	773-655-3024
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EVELYN YONAN
Credential	:
Telephone Number	:	773-655-3024

Provider Enumeration Date	:	02/09/2015
Last Update Date	:	11/07/2017

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