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NPI Code Detail

MEDICARE: NORTHWEST HOME HEALTH CARE, INC.

MEDICARE: NORTHWEST HOME HEALTH CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyIL

General Provider Information

NPI Number : 1013121532
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHWEST HOME HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 529 W CHICAGO AVE
Second Line :
City : EAST CHICAGO
State : IN
Zip : 46312-3206
Country : US
Telephone Number : 219-397-8610
Fax Number : 219-397-8611
Provider Business Practice Location Address
First Line : 529 W CHICAGO AVE
Second Line :
City : EAST CHICAGO
State : IN
Zip : 46312-3206
Country : US
Telephone Number : 219-397-8610
Fax Number : 219-397-8611
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. CHARO JEAN JIMENEZ
Credential : BSN, RN
Telephone Number : 219-397-8610
Provider Enumeration Date : 05/10/2007
Last Update Date : 08/22/2020

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Directions to “NORTHWEST HOME HEALTH CARE, INC. ” Practice Location

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