Provider Demographics
NPI:1548502164
Name:CARE FOR SOUL INC
Entity type:Organization
Organization Name:CARE FOR SOUL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHINTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-983-0041
Mailing Address - Street 1:9186 W GOLF RD
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-5806
Mailing Address - Country:US
Mailing Address - Phone:847-983-0041
Mailing Address - Fax:847-983-4756
Practice Address - Street 1:9186 W GOLF RD
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-5806
Practice Address - Country:US
Practice Address - Phone:847-983-0041
Practice Address - Fax:847-983-4756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care