MEDICARE: MED HOME ALERT

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	333300000X	Emergency Response System Companies

General Provider Information

NPI Number	:	1619234606
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED HOME ALERT

Provider Business Mailing Address
First Line	:	PO BOX 2248
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60065-2248
Country	:	US
Telephone Number	:	866-277-3395
Fax Number	:	866-277-4191

Provider Business Practice Location Address
First Line	:	500 LAKE COOK RD STE 350
Second Line	:
City	:	DEERFIELD
State	:	IL
Zip	:	60015-5268
Country	:	US
Telephone Number	:	866-277-3395
Fax Number	:	866-277-4191

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. LISA ANN THOMPSON
Credential	:
Telephone Number	:	866-277-3395

Provider Enumeration Date	:	04/16/2012
Last Update Date	:	04/16/2012

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Directions to “MED HOME ALERT ” Practice Location

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