Sandra Lea Henderson in Villa Park - Personal Care Attendant
Sandra Lea Henderson - NPI 1104049691
Sandra Lea Henderson is a Personal Care Attendant in Villa Park, Illinois. Sandra Lea Henderson practices all healthcare services and medical treatments related to Personal Care Attendant. The NPI Number for Sandra Lea Henderson is 1104049691. The last update date is 2007-07-08.
Sandra Lea Henderson's current location address is 205 N Wisconsin Avenue, Villa Park, Illinois. You can contact this provider via phone number 6305307776. The mailing address for Sandra Lea Henderson is 205 N Wisconsin Avenue, Villa Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Lea Henderson |
|---|---|
| Address | 205 N Wisconsin Avenue, Villa Park, Illinois |
| Phone Number | 6305307776 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104049691 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 205 N Wisconsin Avenue |
|---|---|
| City | Villa Park |
| State | Illinois (IL) |
| Post Code | 601812034 |
| Phone Number | 6305307776 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Personal Care Attendant |
|---|---|
| Taxonomy | 3747P1801X |
|
Definition: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the in |
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What is the Sandra Lea Henderson's 1104049691?
The Sandra Lea Henderson's NPI (National Provider Identifier) Number is 1104049691. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Sandra Lea Henderson's physical address?
The Sandra Lea Henderson is physically located at 205 N Wisconsin Avenue, in the city of Villa Park, IL, with the postal code 601812034.
What is Sandra Lea Henderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sandra Lea Henderson is Personal Care Attendant, and the taxonomy code that classifies this field of practice is 3747P1801X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104049691 to Sandra Lea Henderson?
The Sandra Lea Henderson received its 1104049691 assignment from the Centers for Medicare & Medicaid Services on 2007-04-11.
As of what date were the details pertaining to Sandra Lea Henderson last refreshed?
The information related to the Sandra Lea Henderson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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