Provider Demographics
NPI:1174534333
Name:NOS HEALTHCARE INC.
Entity type:Organization
Organization Name:NOS HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:STAVROPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-941-3683
Mailing Address - Street 1:4N150 WOOD DALE RD
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-2965
Mailing Address - Country:US
Mailing Address - Phone:630-941-3683
Mailing Address - Fax:630-501-0958
Practice Address - Street 1:4N150 WOOD DALE RD
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-2965
Practice Address - Country:US
Practice Address - Phone:630-941-3683
Practice Address - Fax:630-501-0958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1008283251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1008283OtherSTATE LICENSE NUMBER
IL1008283OtherSTATE LICENSE NUMBER
WI527307Medicare Oscar/Certification
IL1008283OtherSTATE LICENSE NUMBER