Healthcare Provider Details

I. General information

NPI: 1366316325
Provider Name (Legal Business Name): EPIC HEALTH L.L.C. DBA EPIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 BUSCH PKWY STE 100
BUFFALO GROVE IL
60089-4541
US

IV. Provider business mailing address

655 LONGTREE DR
WHEELING IL
60090-5546
US

V. Phone/Fax

Practice location:
  • Phone: 850-339-7746
  • Fax:
Mailing address:
  • Phone: 850-339-7746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. VICTORINE EDINAM BERRY-GBEKOU
Title or Position: ADMINISTRATOR
Credential: NP
Phone: 850-339-7746