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FOUNTAIN OF HEALTH HOME HEALTH AGENCY LLC NPI 1962091686


NPI Information

NPI: 1962091686
Provider Name: FOUNTAIN OF HEALTH HOME HEALTH AGENCY LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
1420 BRUMMEL ST
EVANSTON, IL
ZIP 60202
Phone: (847) 859-6217
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FOUNTAIN OF HEALTH HOME HEALTH AGENCY LLC is a nursing care in Evanston, IL. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. FOUNTAIN OF HEALTH HOME HEALTH AGENCY LLC NPI is 1962091686. The provider is registered as an organization entity type.

The provider's business location address is:

1420 BRUMMEL ST
EVANSTON, IL
ZIP 60202-706
Phone: (847) 859-6217
Fax: (847) 859-6227

The provider's authorized official is Olugbenga Ayeni .
The authorized official title is Administrator and has the following contact phone number (773) 428-2259.

The enumeration date for this NPI number is 1/16/2021 and was last updated on 1/17/2023.


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 HealthNo
2251J00000XNursing CareYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.