Provider Demographics
NPI:1538817382
Name:FOX RIVER VALLEY CARE AT HOME, LTD.
Entity type:Organization
Organization Name:FOX RIVER VALLEY CARE AT HOME, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:331-248-6116
Mailing Address - Street 1:7464 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-3264
Mailing Address - Country:US
Mailing Address - Phone:331-248-6116
Mailing Address - Fax:331-248-6278
Practice Address - Street 1:415 E STATE ST STE A
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2302
Practice Address - Country:US
Practice Address - Phone:331-248-6116
Practice Address - Fax:331-248-6278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care