MEDDOC 40 LLC; NPI #1942016092

Contact Information

MEDDOC 40 LLC

5113 S HARPER AVE
CHICAGO, IL 60615-4119

Phone: 708-567-1071
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Health Service	261QH0100X
Case Management	251B00000X
Home Health	251E00000X	A4[11]	Home Health Agency
Home Health Aide	374U00000X
In Home Supportive Care	253Z00000X
Public Health or Welfare	251K00000X	60	Public Health or Welfare Agency

Indicates primary specialty

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NPI Profile & details for MEDDOC 40 LLC

NPI Number	`1942016092`
LBN Legal business name	MEDDOC 40 LLC
Authorized official	TONESIA ROUSE - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/04/2024
Last updated	12/04/2024 - More than a year ago
Identifiers	n/a

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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