Healthcare Provider Details

I. General information

NPI: 1013167659
Provider Name (Legal Business Name): US HOSPICE AND HOME HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2008
Last Update Date: 03/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5860 N LINCOLN AVE FLOOR 2
CHICAGO IL
60659-4629
US

IV. Provider business mailing address

5860 N LINCOLN AVE FLOOR 2
CHICAGO IL
60659-4629
US

V. Phone/Fax

Practice location:
  • Phone: 773-416-3800
  • Fax: 773-728-6853
Mailing address:
  • Phone: 773-416-3800
  • Fax: 773-728-6853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. MARIA THANUGUNDLA
Title or Position: DIRECTOR
Credential:
Phone: 773-416-3800