Provider Demographics
NPI:1487055281
Name:COMPETENT CAREGIVERS
Entity type:Organization
Organization Name:COMPETENT CAREGIVERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DIMPLES
Authorized Official - Middle Name:BALASBAS
Authorized Official - Last Name:SAQUIN
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:847-804-3207
Mailing Address - Street 1:401 E. PROSPECT AVENUE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-3360
Mailing Address - Country:US
Mailing Address - Phone:847-804-3207
Mailing Address - Fax:
Practice Address - Street 1:401 E. PROSPECT AVENUE
Practice Address - Street 2:SUITE 109
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-3360
Practice Address - Country:US
Practice Address - Phone:847-804-3207
Practice Address - Fax:224-735-2983
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPETENT HOME HEALTH CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001052253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care