Healthcare Provider Details

I. General information

NPI: 1255786349
Provider Name (Legal Business Name): HOME HEALTH AND INFUSION OPTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2016
Last Update Date: 04/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 W WASHINGTON BLVD SUITE 2J
CHICAGO IL
60607-2119
US

IV. Provider business mailing address

2342 N LAKEWOOD AVE
CHICAGO IL
60614-6210
US

V. Phone/Fax

Practice location:
  • Phone: 866-415-3034
  • Fax: 800-430-2202
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number2350191
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: DEVIN BARRETT
Title or Position: PRESIDENT
Credential:
Phone: 866-415-3034