Ebenezer Home Health Service, Llc in Tinley Park - Home Health
Ebenezer Home Health Service, Llc - NPI 1215075932
Ebenezer Home Health Service, Llc is a Home Health in Tinley Park, Illinois. Ebenezer Home Health Service, Llc practices all healthcare services and medical treatments related to Home Health. The NPI Number for Ebenezer Home Health Service, Llc is 1215075932. The last update date is 2021-07-07.
Ebenezer Home Health Service, Llc's current location address is 16860 Oak Park Ave Ste 201c, Tinley Park, Illinois. You can contact this provider via phone number 7084448511 and fax number 7084448514. The mailing address for Ebenezer Home Health Service, Llc is 16860 Oak Park Ave Ste 201c, Tinley Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ebenezer Home Health Service, Llc |
|---|---|
| Address | 16860 Oak Park Ave Ste 201c, Tinley Park, Illinois |
| Phone Number | 7084448511 |
| Fax Number | 7084448514 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Villasenor Marilou |
| Telephone Number | 7737938627 |
NPI Number Detail
| NPI Number | 1215075932 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2021-07-07 |
Provider Mailing Address Detail
| Address | 16860 Oak Park Ave Ste 201c |
|---|---|
| City | Tinley Park |
| State | Illinois (IL) |
| Post Code | 604772787 |
| Phone Number | 7084448511 |
| Fax Number | 7084448514 |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1215075932 | IL | -- | |
| 1215075932001 | IL | -- | |
| 1010723 | IL | DEPT OF PUBLIC HEALTH |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ebenezer Home Health Service, Llc?
The Ebenezer Home Health Service, Llc has been issued the NPI (National Provider Identifier) 1215075932 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Ebenezer Home Health Service, Llc is physically located?
The Ebenezer Home Health Service, Llc is situated at the following address: 16860 Oak Park Ave Ste 201C, Tinley Park, IL 604772787.
What is Ebenezer Home Health Service, 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 Ebenezer Home Health Service, Llc is Home Health, and the taxonomy classification code that categorizes this area of expertise is 251E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215075932 to Ebenezer Home Health Service, Llc?
The Centers for Medicare & Medicaid Services assigned the 1215075932 to Ebenezer Home Health Service, Llc on 2007-02-02.
As of what date were the Ebenezer Home Health Service, Llc's details last updated?
The information pertaining to the Ebenezer Home Health Service, Llc, including its address, specialty, and other details, was most recently updated on 2021-07-07.