Healthcare Provider Details

I. General information

NPI: 1265428320
Provider Name (Legal Business Name): UNITED HOME HEALTH SERVICES OF COOK COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 RIDGE RD SUITE 300
HOMEWOOD IL
60430-1760
US

IV. Provider business mailing address

9510 ORMSBY STATION RD SUITE 300
LOUISVILLE KY
40223-4081
US

V. Phone/Fax

Practice location:
  • Phone: 708-647-1042
  • Fax: 708-647-1095
Mailing address:
  • Phone: 502-891-1000
  • Fax: 502-891-8067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1007863
License Number StateIL

VIII. Authorized Official

Name: MR. C. STEVEN GUENTHNER
Title or Position: SR VP, CFO
Credential:
Phone: 502-891-1000