Supportive Home Health Llc in Bartlett - Home Health
Supportive Home Health Llc - NPI 1568555316
Supportive Home Health Llc is a Home Health in Bartlett, Illinois. Supportive Home Health Llc practices all healthcare services and medical treatments related to Home Health. The NPI Number for Supportive Home Health Llc is 1568555316. The last update date is 2012-01-17.
Supportive Home Health Llc's current location address is 1540 Bridle Ln, Bartlett, Illinois. You can contact this provider via phone number 7084366949 and fax number 6308370230. The mailing address for Supportive Home Health Llc is 1540 Bridle Ln, Bartlett, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Supportive Home Health Llc |
|---|---|
| Address | 1540 Bridle Ln, Bartlett, Illinois |
| Phone Number | 7084366949 |
| Fax Number | 6308370230 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Dolan Dwight Raymond |
| Credentials | RN |
| Telephone Number | 6308308000 |
NPI Number Detail
| NPI Number | 1568555316 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2012-01-17 |
Provider Mailing Address Detail
| Address | 1540 Bridle Ln |
|---|---|
| City | Bartlett |
| State | Illinois (IL) |
| Post Code | 601031853 |
| Phone Number | 7084366949 |
| Fax Number | 6308370230 |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
| Licence No | 4243128 |
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Definition: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, |
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What is the unique identifier code issued to Supportive Home Health Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Supportive Home Health Llc has been assigned the NPI (National Provider Identifier) 1568555316. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Supportive Home Health Llc?
The Supportive Home Health Llc is situated at 1540 Bridle Ln, in the city of Bartlett, state of IL, with the zip code 601031853.
What is Supportive Home Health Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Supportive Home Health Llc is Home Health, and the taxonomy classification code that categorizes this area of expertise is 251E00000X.
On what date did Supportive Home Health Llc receive its 1568555316 assignment from the Centers for Medicare & Medicaid Services?
The Supportive Home Health Llc was assigned its 1568555316 on 2006-10-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Supportive Home Health Llc most recently updated or revised?
The information pertaining to Supportive Home Health Llc, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-17.