Provider Demographics
NPI:1538806880
Name:SENIORCARE MIDWEST, INC.
Entity type:Organization
Organization Name:SENIORCARE MIDWEST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELQUISEDECK
Authorized Official - Middle Name:
Authorized Official - Last Name:ARANAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-569-6698
Mailing Address - Street 1:4747 W PETERSON AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-5744
Mailing Address - Country:US
Mailing Address - Phone:800-684-0722
Mailing Address - Fax:773-261-8279
Practice Address - Street 1:4747 W PETERSON AVE STE 310
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-5744
Practice Address - Country:US
Practice Address - Phone:800-684-0722
Practice Address - Fax:773-261-8279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-18
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care