Providence Homecare Services Inc
Organization Active NPI Home Health Aide · Chicago, IL
NPI 1275938912 · NPPES record last updated May 19, 2025
Key facts
- NPI
- 1275938912
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Aide 374U00000X
- Legal business name
- PROVIDENCE HOMECARE SERVICES INC
- Practice address
- 6965 N Western Ave
Chicago, IL 60645-4710 - Phone
- (773) 274-3627
- NPI assigned
- Oct 23, 2014
- Organization subpart
- No
Authorized official
- Name
- Wilson Atiabet
- Title
- Owner
- Phone
- (773) 274-3627
National Provider Directory
Locations
6965 N Western Ave
Chicago, IL 60645
Phone (773) 274-3627
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Home Health Aide |
374U00000X | Yes |
Addresses
Primary practice location
6965 N Western Ave
Chicago, IL 60645-4710
Mailing address
6965 N Western Ave
Chicago, IL 60645-4710
Phone (773) 274-3627
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2025. 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.