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NPI Code Detail

MEDICARE: HEALTHTRENDS AT HOME

MEDICARE: HEALTHTRENDS AT HOME
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 Agency3000206IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13000206OTHERIDPH LICENSE

General Provider Information

NPI Number : 1245524784
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHTRENDS AT HOME
Provider Business Mailing Address
First Line : 200 HOWARD AVE
Second Line : SUITE 248
City : DES PLAINES
State : IL
Zip : 60018-5906
Country : US
Telephone Number : 800-934-2228
Fax Number : 847-674-7122
Provider Business Practice Location Address
First Line : 200 HOWARD AVE
Second Line : SUITE 248
City : DES PLAINES
State : IL
Zip : 60018-5906
Country : US
Telephone Number : 800-934-2228
Fax Number : 847-674-7122
Authorized Official
Title or Position : ADMINISTRATOR
Name : ANNETTE M HENEGHAN
Credential : R.N.
Telephone Number : 800-934-2228
Provider Enumeration Date : 06/01/2011
Last Update Date : 06/01/2011

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Directions to “HEALTHTRENDS AT HOME ” Practice Location

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