MEDICARE: HOME HEALTH AND INFUSION OPTIONS, 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
1	171W00000X	Contractor
2	171M00000X	Case Manager/Care Coordinator	2350191	IL

General Provider Information

NPI Number	:	1255786349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH AND INFUSION OPTIONS, INC.

Provider Business Mailing Address
First Line	:	2342 N LAKEWOOD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-6210
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1017 W WASHINGTON BLVD
Second Line	:	SUITE 2J
City	:	CHICAGO
State	:	IL
Zip	:	60607-2119
Country	:	US
Telephone Number	:	866-415-3034
Fax Number	:	800-430-2202

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DEVIN BARRETT
Credential	:
Telephone Number	:	866-415-3034

Provider Enumeration Date	:	04/26/2016
Last Update Date	:	04/26/2016

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