Public record

CMS Home Health Agency Enrollments

Npi: 1457678344 · 1 matching record

Enrollment id: O20110721000580
Enrollment state: IL
Provider type code: 00-06
Provider type text: PART A PROVIDER - HOME HEALTH AGENCY
Npi: 1457678344
Multiple npi flag: N
Ccn: 148272
Associate id: 2264600048
Organization name: DR HOME HEALTHCARE LLC
Organization type structure: LLC
Proprietary nonprofit: P
Address line 1: 14228 MCCARTHY ROAD
City: LEMONT
State: IL
Zip code: 604399383

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