Provider Demographics
NPI:1447482658
Name:ARISTACARE HEALTH INC
Entity type:Organization
Organization Name:ARISTACARE HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PRASHANT
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-490-3995
Mailing Address - Street 1:1056 W GOLF RD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1340
Mailing Address - Country:US
Mailing Address - Phone:847-490-3995
Mailing Address - Fax:847-490-3793
Practice Address - Street 1:1056 W GOLF RD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1340
Practice Address - Country:US
Practice Address - Phone:847-490-3995
Practice Address - Fax:847-490-3793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336H0001X
IA4646333600000X
IL0540167163336C0003X
MO20160105463336C0003X
WI1643-433336C0003X
SD400-15613336C0003X
MN2650013336C0003X
NDPHAR13003336C0003X
AZY0068003336C0003X
IN64002100A3336C0003X
COOSP.00067793336C0004X
GAPHNR0010133336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2121578OtherPK
IL=========001Medicaid
IL=========001Medicaid