MEDICARE: AT CONTINUUM LLC

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

General Provider Information

NPI Number	:	1063690055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AT CONTINUUM LLC

Provider Business Mailing Address
First Line	:	380 BRAMPTON LN
Second Line	:
City	:	LAKE FOREST
State	:	IL
Zip	:	60045-3453
Country	:	US
Telephone Number	:	847-387-9005
Fax Number	:

Provider Business Practice Location Address
First Line	:	380 BRAMPTON LN
Second Line	:
City	:	LAKE FOREST
State	:	IL
Zip	:	60045-3453
Country	:	US
Telephone Number	:	847-387-9005
Fax Number	:

Authorized Official
Title or Position	:	CEO / PARTNER
Name	:	MANISH PATEL
Credential	:
Telephone Number	:	847-387-9005

Provider Enumeration Date	:	02/01/2008
Last Update Date	:	02/01/2008

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Directions to “AT CONTINUUM LLC ” Practice Location

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