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NPI Code Detail

MEDICARE: PREMIER POINT HOME HEALTH, INC.

MEDICARE: PREMIER POINT HOME HEALTH, 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
1261QI0500XInfusion Therapy Clinic/Center
2251E00000XHome Health Agency1010827IL

General Provider Information

NPI Number : 1609046242
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER POINT HOME HEALTH, INC.
Provider Business Mailing Address
First Line : 4701 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60640-5021
Country : US
Telephone Number : 773-275-8390
Fax Number : 773-275-8395
Provider Business Practice Location Address
First Line : 4701 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60640-5021
Country : US
Telephone Number : 773-275-8390
Fax Number : 773-275-8395
Authorized Official
Title or Position : PRESIDENT
Name : MR. LANRE A. SHOMADE
Credential : MBA
Telephone Number : 773-275-8390
Provider Enumeration Date : 03/11/2008
Last Update Date : 09/19/2014

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Directions to “PREMIER POINT HOME HEALTH, INC. ” Practice Location

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