Provider Demographics
NPI:1144279589
Name:MA DEAR HOME SERVICES, INC.
Entity type:Organization
Organization Name:MA DEAR HOME SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEE'
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISSETTE-THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:BHA
Authorized Official - Phone:773-373-4663
Mailing Address - Street 1:4659 S COTTAGE GROVE AVE
Mailing Address - Street 2:SUITE #202
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-4757
Mailing Address - Country:US
Mailing Address - Phone:773-373-4663
Mailing Address - Fax:773-268-2472
Practice Address - Street 1:1525 E 53RD ST
Practice Address - Street 2:SUITE #1006
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-4557
Practice Address - Country:US
Practice Address - Phone:773-667-4663
Practice Address - Fax:773-667-9186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty