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Custom Home Care, Inc.
Home Health Agency in Chicago, Illinois
NPI 1407956550

Custom Home Care, Inc. is a Home Health Agency based in Evanston, IL. Custom Home Care, Inc. practices in Chicago, IL. The NPI Number for Custom Home Care, Inc. is 1407956550 and holds a License No. 1675283 (Illinois).

The current practice location address for Custom Home Care, Inc. is 4754 N Lincoln Ave, Chicago, IL and can be reached out via phone at 773-561-4663 and via fax at 773-561-2756.

Location: 4754 N Lincoln Ave, Chicago, IL, 60201-1234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407956550
Provider Name
Custom Home Care, Inc.
Credential
Provider Entity Type
Organization
Address
4754 N Lincoln Ave, Chicago, IL, 60201-1234
Phone Number
773-561-4663
Fax Number
773-561-2756
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4754 N Lincoln Ave
City
Chicago
State
Illinois
Zip
60625-2010
Phone Number
773-561-4663
Fax Number
773-561-2756
person
Provider Business Mailing Address Details
Address
4754 N Lincoln Ave
City
Chicago
State
Illinois
Zip
60625-2010
Phone Number
773-561-4663
Fax Number
773-561-2756
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1675283 (Illinois)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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