Provider Demographics
NPI:1063402154
Name:CHOICECARE HOME HEALTH, INC.
Entity type:Organization
Organization Name:CHOICECARE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-489-0123
Mailing Address - Street 1:15635 S 94TH AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-4722
Mailing Address - Country:US
Mailing Address - Phone:708-489-0123
Mailing Address - Fax:708-489-2239
Practice Address - Street 1:15635 S 94TH AVE STE 108
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4722
Practice Address - Country:US
Practice Address - Phone:708-489-0123
Practice Address - Fax:708-489-2239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-28
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X, 385H00000X, 251J00000X
IL1010179251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL50113OtherBLUE CROSS PROVIDER #
IL14-7720Medicare ID - Type UnspecifiedMC PROVIDER #