Provider Demographics
NPI:1043973886
Name:CAREFORTE HOME HEALTHCARE INC.
Entity type:Organization
Organization Name:CAREFORTE HOME HEALTHCARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NIMI
Authorized Official - Middle Name:
Authorized Official - Last Name:INDIAMAOWEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-943-7406
Mailing Address - Street 1:1821 WALDEN OFFICE SQ STE LN
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4295
Mailing Address - Country:US
Mailing Address - Phone:773-657-3613
Mailing Address - Fax:
Practice Address - Street 1:4734 ARBOR DR
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-4417
Practice Address - Country:US
Practice Address - Phone:773-657-3613
Practice Address - Fax:773-492-6637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2023-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILA24025485001Medicaid