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NPI Code Detail

MEDICARE: OMEGA HOME HEALTHCARE LLC

MEDICARE: OMEGA 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
1251E00000XHome Health Agency1010195IL

General Provider Information

NPI Number : 1679682553
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMEGA HOME HEALTHCARE LLC
Provider Business Mailing Address
First Line : 1717 HOWARD ST
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3735
Country : US
Telephone Number : 847-425-9089
Fax Number : 847-425-9091
Provider Business Practice Location Address
First Line : 1717 HOWARD ST
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3735
Country : US
Telephone Number : 847-425-9089
Fax Number : 847-425-9091
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MISS NELIA GUINSATAO LAUREL
Credential :
Telephone Number : 773-433-0163
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/22/2020

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Directions to “OMEGA HOME HEALTHCARE LLC ” Practice Location

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