Provider Demographics
NPI:1134339229
Name:SPRINGHILL HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:SPRINGHILL HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VISITACION
Authorized Official - Middle Name:R
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:847-841-7405
Mailing Address - Street 1:339 W RIVER RD
Mailing Address - Street 2:SUITE #107
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-1500
Mailing Address - Country:US
Mailing Address - Phone:847-841-7405
Mailing Address - Fax:847-841-7407
Practice Address - Street 1:339 W RIVER RD
Practice Address - Street 2:SUITE #107
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-1500
Practice Address - Country:US
Practice Address - Phone:847-841-7405
Practice Address - Fax:847-841-7407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL65322528251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health