Provider Demographics
NPI:1760711956
Name:ACCESS LIFE CARE, LTD.
Entity type:Organization
Organization Name:ACCESS LIFE CARE, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:IVY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALINDOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-427-8000
Mailing Address - Street 1:1580 N NORTHWEST HWY STE 219
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1468
Mailing Address - Country:US
Mailing Address - Phone:773-427-8000
Mailing Address - Fax:
Practice Address - Street 1:1580 N NORTHWEST HWY STE 219
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1468
Practice Address - Country:US
Practice Address - Phone:773-427-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010899251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health