Provider Demographics
NPI:1548448897
Name:HYACINTH HOME HEALTH INC.
Entity type:Organization
Organization Name:HYACINTH HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:JACULBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-422-4566
Mailing Address - Street 1:9500 S AVERS AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-2018
Mailing Address - Country:US
Mailing Address - Phone:708-422-4566
Mailing Address - Fax:
Practice Address - Street 1:9500 S AVERS AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2018
Practice Address - Country:US
Practice Address - Phone:708-422-4566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health