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Contact Information

IN HOME HEALTH LLC
333 SALEM PL
SUITE 165
FAIRVIEW HEIGHTS, IL62208-1341
 Phone: 618-632-0304
 Fax: 618-632-0364
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IN HOME HEALTH LLC

NPI # 1700105152
LBN Legal business name IN HOME HEALTH LLC
Authorized official MARTIN ALLEN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/25/2010
Last updated 04/15/2022 - About 4 years ago
Identifiers
IL License # 2001311
MO Medicaid 1700105152
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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