Provider Demographics
NPI:1881076016
Name:WINDSOR HOME CARE SERVICES, INC.
Entity type:Organization
Organization Name:WINDSOR HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:O
Authorized Official - Last Name:OTUBUSIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, JD
Authorized Official - Phone:312-263-1288
Mailing Address - Street 1:77 W WASHINGTON ST
Mailing Address - Street 2:SUITE 1204
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-2801
Mailing Address - Country:US
Mailing Address - Phone:312-263-1288
Mailing Address - Fax:312-251-1281
Practice Address - Street 1:77 W WASHINGTON ST
Practice Address - Street 2:SUITE 1204
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-2801
Practice Address - Country:US
Practice Address - Phone:312-263-1288
Practice Address - Fax:312-251-1281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001223253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care