Healthcare Provider Details

I. General information

NPI: 1649284068
Provider Name (Legal Business Name): HEALTHQUEST HOMCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 04/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 E DEVON AVE SUITE 375
DES PLAINES IL
60018-4921
US

IV. Provider business mailing address

2500 E. DEVON AVE
DES PLAINES IL
60018
US

V. Phone/Fax

Practice location:
  • Phone: 847-297-0137
  • Fax: 847-297-0138
Mailing address:
  • Phone: 847-297-0137
  • Fax: 847-297-0138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. BOBBY POPE
Title or Position: ADMINISTRATOR
Credential:
Phone: 847-637-6168