Provider Demographics
NPI:1447439286
Name:HOMELINK HEALTHCARE,LTD
Entity type:Organization
Organization Name:HOMELINK HEALTHCARE,LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROWENA
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:VILLAFUERTE-BUNAG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-631-5633
Mailing Address - Street 1:7257 W TOUHY AVE
Mailing Address - Street 2:SUITE 200-A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-4342
Mailing Address - Country:US
Mailing Address - Phone:773-631-5633
Mailing Address - Fax:773-631-6786
Practice Address - Street 1:7257 W TOUHY AVE
Practice Address - Street 2:SUITE 200-A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-4342
Practice Address - Country:US
Practice Address - Phone:773-631-5633
Practice Address - Fax:773-631-6786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010921251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health