Provider Demographics
NPI:1043071350
Name:HAMDARD HOME CARE LLC
Entity type:Organization
Organization Name:HAMDARD HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:AHSANUDDIN
Authorized Official - Last Name:MAZHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-792-7131
Mailing Address - Street 1:1S225 ARDMORE AVE
Mailing Address - Street 2:
Mailing Address - City:VILLA PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3759
Mailing Address - Country:US
Mailing Address - Phone:312-217-3959
Mailing Address - Fax:
Practice Address - Street 1:330 E ROOSEVELT RD STE 120 A
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4662
Practice Address - Country:US
Practice Address - Phone:312-792-7131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care