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HEALTHSOURCE HOME CARE INC. NPI 1114099470


NPI Information

NPI: 1114099470
Provider Name: HEALTHSOURCE HOME CARE, INC.
Classification: Homemaker - 376J00000X
Entity Type: Organization
Address:
2863 95TH ST STE 143-376
NAPERVILLE, IL
ZIP 60564
Phone: (630) 390-0190
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HEALTHSOURCE HOME CARE, INC. is a homemaker in Naperville, IL. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. HEALTHSOURCE HOME CARE, INC. NPI is 1114099470. The provider is registered as an organization entity type.

The provider's business location address is:

2863 95TH ST STE 143-376
NAPERVILLE, IL
ZIP 60564
Phone: (630) 390-0190
Fax: (630) 622-1515

The provider's authorized official is Peter Chung .
The authorized official title is Administrator and has the following contact phone number (630) 390-0190.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 7/24/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health1010593ILLINOISNo
2251E00000XHome Health1011070ILLINOISNo
3376J00000XHomemaker8421173ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18421173MEDICAIDILLINOIS

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: 11/14/2023

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