Provider Demographics
NPI:1902461825
Name:ONE TOUCH SENIOR CARE LLC
Entity Type:Organization
Organization Name:ONE TOUCH SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EBONI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-970-7977
Mailing Address - Street 1:9204 S COMMERCIAL AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-2197
Mailing Address - Country:US
Mailing Address - Phone:708-360-3163
Mailing Address - Fax:312-277-1014
Practice Address - Street 1:9204 S COMMERCIAL AVE STE 306
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-2197
Practice Address - Country:US
Practice Address - Phone:708-360-3163
Practice Address - Fax:312-277-1014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL258533054912Medicaid