MEDICARE: RITEWAY HEALTHCARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1144991555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITEWAY HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	7637 S HONORE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60620-5217
Country	:	US
Telephone Number	:	773-979-1860
Fax Number	:

Provider Business Practice Location Address
First Line	:	7637 S HONORE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60620-5217
Country	:	US
Telephone Number	:	773-979-1860
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	CHARLOTTE RODGERS
Credential	:
Telephone Number	:	312-268-1092

Provider Enumeration Date	:	09/24/2021
Last Update Date	:	09/24/2021

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Directions to “RITEWAY HEALTHCARE LLC ” Practice Location

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