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Contact Information

PRUDENTIAL HOME HEALTH SERVICES CORPORATION
4440 LINCOLN HWY STE 205
MATTESON, IL60443-3803
 Phone: 708-709-0709
 Fax: 708-709-0220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for PRUDENTIAL HOME HEALTH SERVICES CORPORATION

NPI # 1508876541
LBN Legal business name PRUDENTIAL HOME HEALTH SERVICES CORPORATION
Authorized official EME UDOETUK - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2006
Last updated 08/24/2021 - About 5 years ago
Identifiers
IL License # 1525293
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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