Healthcare Provider Details

I. General information

NPI: 1932955259
Provider Name (Legal Business Name): ENO HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2024
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 W BUTTERFIELD RD STE 4B
ELMHURST IL
60126-5044
US

IV. Provider business mailing address

340 W BUTTERFIELD RD STE 4B
ELMHURST IL
60126-5044
US

V. Phone/Fax

Practice location:
  • Phone: 630-882-5120
  • Fax:
Mailing address:
  • Phone: 630-882-5120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS HUDSON
Title or Position: AGENCY MANAGER
Credential:
Phone: 630-882-5120