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NPI Code Detail

MEDICARE: HOME HEALTH RESOURCE, LLC

MEDICARE: HOME HEALTH RESOURCE, 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 Agency1010457IL

General Provider Information

NPI Number : 1871518779
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME HEALTH RESOURCE, LLC
Provider Business Mailing Address
First Line : 2295 VALLEY CREEK DR
Second Line :
City : ELGIN
State : IL
Zip : 60123-2694
Country : US
Telephone Number : 847-608-9905
Fax Number : 847-608-9915
Provider Business Practice Location Address
First Line : 2295 VALLEY CREEK DR
Second Line :
City : ELGIN
State : IL
Zip : 60123-2694
Country : US
Telephone Number : 847-608-9905
Fax Number : 847-608-9915
Authorized Official
Title or Position : DIRECTOR OF NURSING
Name : MISS JACQUELINE PONCE DE LEON
Credential : RN
Telephone Number : 847-608-9905
Provider Enumeration Date : 07/12/2006
Last Update Date : 02/04/2009

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Directions to “HOME HEALTH RESOURCE, LLC ” Practice Location

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