Itara42 Home Care Agency

NPI #1275320723 in Chicago, Illinois

Provider Information

NPI Number: 1275320723
Entity Type: Organization
Organization Name: Itara42 Home Care Agency
Primary Specialty: Lodging
Enumeration Date: Apr 21, 2025
Last Updated: Apr 22, 2025

Practice Location

Address: 12051 S YALE AVE
City: Chicago
State: Illinois
ZIP Code: 60628-6536
Phone: (773) 840-3729

Authorized Official

Name: DON DAVIS
Title: MANAGER
Phone: (773) 999-5051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Meals	174200000X
In Home Supportive Care	253Z00000X
Private Vehicle	347C00000X
Home Health Aide	374U00000X
Lodging	177F00000X	Primary

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