MEDICARE: DR HOME HEALTHCARE 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	1011346	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14-8272	OTHER	IL	MEDICARE PROVIDER NUMBER

General Provider Information

NPI Number	:	1457678344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	14228 MCCARTHY RD
Second Line	:
City	:	LEMONT
State	:	IL
Zip	:	60439-9393
Country	:	US
Telephone Number	:	630-243-0527
Fax Number	:	630-243-0849

Provider Business Practice Location Address
First Line	:	14228 MCCARTHY RD
Second Line	:
City	:	LEMONT
State	:	IL
Zip	:	60439-9393
Country	:	US
Telephone Number	:	630-243-0527
Fax Number	:	630-243-0849

Authorized Official
Title or Position	:	CEO
Name	:	MRS. RAQUEL MINDA REOLA PARAGAS
Credential	:	RN
Telephone Number	:	630-243-0527

Provider Enumeration Date	:	05/01/2010
Last Update Date	:	10/15/2020

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Directions to “DR HOME HEALTHCARE LLC ” Practice Location

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