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OPAL HOME HEALTH LLC NPI 1124381967


NPI Information

NPI: 1124381967
Provider Name: OPAL HOME HEALTH, LLC
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
4403 W LAWRENCE AVE
SUITE 201
CHICAGO, IL
ZIP 60630
Phone: (773) 283-3074
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OPAL HOME HEALTH, LLC is a home health in Chicago, 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. OPAL HOME HEALTH, LLC NPI is 1124381967. The provider is registered as an organization entity type.

The provider's business location address is:

4403 W LAWRENCE AVE
SUITE 201
CHICAGO, IL
ZIP 60630-513
Phone: (773) 283-3074
Fax: (773) 283-2986

The provider's authorized official is Elsie Paez .
The authorized official title is Agency Administrator and has the following contact phone number (773) 283-3074.

The enumeration date for this NPI number is 6/18/2012 and was last updated on 6/18/2012.


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 Health1011510ILLINOISYes

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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