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CHICAGOLAND HOME HEALTH PROVIDER INC. NPI 1215975388


NPI Information

NPI: 1215975388
Provider Name: CHICAGOLAND HOME HEALTH PROVIDER, INC.
Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 14D1040893

Address:
2644 E DEMPSTER ST
SUITE 101
PARK RIDGE, IL
ZIP 60068
Phone: (847) 296-3950
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CHICAGOLAND HOME HEALTH PROVIDER, INC. is a home health in Park Ridge, IL. The provider is 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, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. CHICAGOLAND HOME HEALTH PROVIDER, INC. NPI is 1215975388. The provider is registered as an organization entity type.

The provider's business location address is:

2644 E DEMPSTER ST
SUITE 101
PARK RIDGE, IL
ZIP 60068-411
Phone: (847) 296-3950
Fax: (847) 296-3955

The provider's authorized official is Carolina C Roque .
The authorized official title is Administrator and has the following contact phone number (847) 296-3950.

The CLIA number assigned to this NPI record is 14D1040893 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health1010421ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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