Healthcare Provider Details

I. General information

NPI: 1174850465
Provider Name (Legal Business Name): GOVVAS HEALTHCARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2009
Last Update Date: 01/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 N 1ST BANK DR
PALATINE IL
60067-8112
US

IV. Provider business mailing address

670 N 1ST BANK DR
PALATINE IL
60067-8112
US

V. Phone/Fax

Practice location:
  • Phone: 847-496-4715
  • Fax: 847-496-7135
Mailing address:
  • Phone: 847-496-4715
  • Fax: 847-496-7135

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: AKPATA VALENTINE
Title or Position: PRESIDENT
Credential:
Phone: 847-496-4715