Healthcare Provider Details
I. General information
NPI: 1679600175
Provider Name (Legal Business Name): HELP AT HOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/28/2007
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1015 PROFESSIONAL BLVD STE B
EVANSVILLE IN
47714-8010
US
IV. Provider business mailing address
33 S STATE ST FL 5
CHICAGO IL
60603-2804
US
V. Phone/Fax
- Phone: 812-475-2808
- Fax:
- Phone: 312-762-9999
- Fax: 833-561-2574
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
BONACCORSI
Title or Position: CHIEF LEGAL OFFICER
Credential:
Phone: 312-762-9999