MEDICARE: COMPLETE HOME RESPIRATORY CARE 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	332B00000X	Durable Medical Equipment & Medical Supplies	39874656	IL

General Provider Information

NPI Number	:	1518284587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE HOME RESPIRATORY CARE LLC

Provider Business Mailing Address
First Line	:	2108 W TOWNLINE RD
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61615-1547
Country	:	US
Telephone Number	:	309-689-5038
Fax Number	:	309-689-5074

Provider Business Practice Location Address
First Line	:	2108 W TOWNLINE RD
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61615-1547
Country	:	US
Telephone Number	:	309-689-5038
Fax Number	:	309-689-5074

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TODD ALAN HORACK
Credential	:
Telephone Number	:	309-635-6096

Provider Enumeration Date	:	04/29/2010
Last Update Date	:	10/13/2015

Similar Medicare Providers

1922097096 — ACTION MOBILITY INC
Practice Location Address:

2104 W TOWNLINE RD
PEORIA, IL
61615-1547

Practice Phone: 309-674-8550
Practice Fax: 309-674-8505

1023392628 — MRS. KELLEY MARIE MESSMER RPH
Practice Location Address:

2106 W TOWNLINE RD
PEORIA, IL
61615-1547

Practice Phone: 309-692-2826
Practice Fax:

1700014446 — EXTENDED PHARMACY LLC
Practice Location Address:

121 STATE ST STE 1A
PEORIA, IL
61602-1547

Practice Phone: 309-676-4831
Practice Fax: 309-676-7014

1528903903 — TENDER HEARTS HOME HEALTH
Practice Location Address:

5710 W RACHAEL CT
PEORIA, IL
61615-3062

Practice Phone: 717-802-4493
Practice Fax:

1346281425 — SAINT FRANCIS MEDICAL CENTER
Practice Location Address:

2265 W ALTORFER DR
PEORIA, IL
61615-1807

Practice Phone: 309-683-7716
Practice Fax: 309-683-7735

1023049574 — SAINT FRANCIS MEDICAL CENTER
Practice Location Address:

2265 W ALTORFER DR
PEORIA, IL
61615-1807

Practice Phone: 309-683-7745
Practice Fax:

Directions to “COMPLETE HOME RESPIRATORY CARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.