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NPI Code Detail

MEDICARE: PRUDENT CHOICE HOME HEALTH CARE,CORP.

MEDICARE: PRUDENT CHOICE HOME HEALTH CARE,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
1251E00000XHome Health Agency000000002804IL

General Provider Information

NPI Number : 1871895078
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRUDENT CHOICE HOME HEALTH CARE,CORP.
Provider Business Mailing Address
First Line : 2340 S ARLINGTON HEIGHTS RD STE 550
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-4508
Country : US
Telephone Number : 773-979-4852
Fax Number : 847-972-1034
Provider Business Practice Location Address
First Line : 2340 S ARLINGTON HEIGHTS RD STE 550
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-4508
Country : US
Telephone Number : 773-979-4852
Fax Number : 847-972-1034
Authorized Official
Title or Position : PRESIDENT
Name : MS. CONSUELO MATA MEDINA
Credential : R.N.
Telephone Number : 773-979-4852
Provider Enumeration Date : 11/22/2010
Last Update Date : 08/13/2024

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Directions to “PRUDENT CHOICE HOME HEALTH CARE,CORP. ” Practice Location

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