Provider Demographics
NPI:1861709743
Name:CENTRAL HEALTHCARE, INC.
Entity type:Organization
Organization Name:CENTRAL HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIE FE
Authorized Official - Middle Name:
Authorized Official - Last Name:UDARBE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:708-560-5511
Mailing Address - Street 1:4900 S ARCHER AVE STE 3&4
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60632-3663
Mailing Address - Country:US
Mailing Address - Phone:708-924-0500
Mailing Address - Fax:708-924-0501
Practice Address - Street 1:4900 S ARCHER AVE STE 3&4
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60632-3663
Practice Address - Country:US
Practice Address - Phone:708-924-0500
Practice Address - Fax:708-924-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health