MEDICARE: HOME HEALTH ONE LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1010615	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013086511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH ONE LTD

Provider Business Mailing Address
First Line	:	825 N CASS AVE STE 111
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-6401
Country	:	US
Telephone Number	:	630-887-8609
Fax Number	:	630-887-8615

Provider Business Practice Location Address
First Line	:	825 N CASS AVE STE 111
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-6401
Country	:	US
Telephone Number	:	630-887-8609
Fax Number	:	630-887-8615

Authorized Official
Title or Position	:	PRESIDENT/ADMINISTRATOR
Name	:	ELMA DELA CRUZ-DE VERA
Credential	:
Telephone Number	:	630-887-8609

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	03/15/2018

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Directions to “HOME HEALTH ONE LTD ” Practice Location

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