MEDICARE: US HOSPICE AND HOME HEALTH CORP.

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	IL1010927	IL
2	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1144411729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	US HOSPICE AND HOME HEALTH CORP.

Provider Business Mailing Address
First Line	:	5860 N LINCOLN AVE
Second Line	:	FLOOR 2
City	:	CHICAGO
State	:	IL
Zip	:	60659-4631
Country	:	US
Telephone Number	:	773-416-3800
Fax Number	:	773-728-6853

Provider Business Practice Location Address
First Line	:	5860 N LINCOLN AVE
Second Line	:	FLOOR 2
City	:	CHICAGO
State	:	IL
Zip	:	60659-4631
Country	:	US
Telephone Number	:	773-416-3800
Fax Number	:	773-728-6853

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. MARIA G S THANUGUNDLA
Credential	:
Telephone Number	:	773-416-3800

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	03/15/2011

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