Healthsource Home Care, Inc.
LBN: Healthsource Home Care, Inc.
Healthsource Home Care, Inc. is an health care organization with primary practice located at 2863 95Th St Ste 143-376 , Naperville IL 60564. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Homemaker is the primary health care specialty.
Healthsource Home Care, Inc. can be contacted via phone (630) 390-0190, or through Chung, Peter via phone (630) 390-0190.
Contact Information
Primary practice address
2863 95Th St Ste 143-376
Naperville IL 60564
Phone: (630) 390-0190
Fax: (630) 622-1515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 1010593 | Illinois |
| Agencies / Home Health | 251E00000X | 1011070 | Illinois |
| Nursing Service Related Providers / Homemaker | 376J00000X | 8421173 | Illinois |
Profile Details
| NPI number | 1114099470 |
|---|---|
| LBN Legal business name | Healthsource Home Care, Inc. |
| DBA Doing business as | |
| Authorized official | Chung, Peter |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jul 24th, 2018 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114099470 | NPPES |
| Illinois | MEDICAID | 8421173 |
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