MEDICARE: HELP AT HOME, 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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1295862720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELP AT HOME, LLC

Provider Business Mailing Address
First Line	:	33 S STATE ST FL 5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-2804
Country	:	US
Telephone Number	:	773-922-0596
Fax Number	:	833-561-2574

Provider Business Practice Location Address
First Line	:	9025 COLDWATER RD STE 400
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-2074
Country	:	US
Telephone Number	:	260-451-8383
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OF LEGAL
Name	:	JOSEPH BONACCORSI
Credential	:
Telephone Number	:	312-762-9999

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	09/09/2022

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