MEDICARE: RESIDENTIAL HOME HEALTH ILLINOIS, LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1336377365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESIDENTIAL HOME HEALTH ILLINOIS, LLC

Provider Business Mailing Address
First Line	:	5440 CORPORATE DR STE 400
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48098-2645
Country	:	US
Telephone Number	:	866-902-4000
Fax Number	:	866-903-4000

Provider Business Practice Location Address
First Line	:	2443 WARRENVILLE RD STE 500
Second Line	:
City	:	LISLE
State	:	IL
Zip	:	60532-4356
Country	:	US
Telephone Number	:	866-902-4000
Fax Number	:	866-966-0086

Authorized Official
Title or Position	:	MANAGER OF REGULATORY AFFAIRS
Name	:	KAREN SLOAF
Credential	:
Telephone Number	:	866-902-0123

Provider Enumeration Date	:	06/29/2009
Last Update Date	:	12/07/2025

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