Georgia Home Service LLC
Organization Active NPI In Home Supportive Care Agency · Hillside, IL
NPI 1245909480 · NPPES record last updated Sep 10, 2021
Key facts
- NPI
- 1245909480
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- GEORGIA HOME SERVICE LLC
- Practice address
- 4415 Harrison St Ste 322
Hillside, IL 60162-1905 - Phone
- (708) 632-4230
- NPI assigned
- Sep 10, 2021
- Organization subpart
- No
Authorized official
- Name
- Gerard Copeland
- Title
- Owner/President/Administrator
- Phone
- (708) 632-4230
National Provider Directory
Locations
4415 Harrison St
Ste 322
Hillside, IL 60162
Phone (708) 632-4230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
4415 Harrison St Ste 322
Hillside, IL 60162-1905
Mailing address
3210 Monroe St
Bellwood, IL 60104-2244
Other providers in Hillside, IL
- Michelle Nicole Fry
- Christopher Fuller
- Marni Garfinkel
- Christian Gaubatz
- Genesis Residential Living and Home Healthcare, Inc.
- Iliana Ivanova Georgieva
- Nadia Handspike
- Shaneria Harris
- Health Options of Il, Inc
- Gebreyesus T Hidad
All providers in Hillside, IL · In Home Supportive Care Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.