Provider Demographics
NPI:1053602441
Name:DIRECTCARE HOME HEALTH INC
Entity type:Organization
Organization Name:DIRECTCARE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:OZOIGBO
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:773-721-2900
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA FIELDS
Mailing Address - State:IL
Mailing Address - Zip Code:60461-0066
Mailing Address - Country:US
Mailing Address - Phone:773-721-2900
Mailing Address - Fax:773-721-7729
Practice Address - Street 1:9555 S COMMERCIAL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-5051
Practice Address - Country:US
Practice Address - Phone:773-721-2900
Practice Address - Fax:773-721-7729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies