APOSTOLIC CHRISTIAN HOME OF ROANOKE ILLINOIS INC.; NPI #1770030074

Contact Information

APOSTOLIC CHRISTIAN HOME OF ROANOKE ILLINOIS INC.

1102 W RANDOLPH ST
ROANOKE, IL 61561-7528

Phone: 309-923-2071
Fax: 309-923-7919
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier

Indicates primary specialty

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NPI Profile & details for APOSTOLIC CHRISTIAN HOME OF ROANOKE ILLINOIS INC.

NPI # 1770030074

LBN Legal business name APOSTOLIC CHRISTIAN HOME OF ROANOKE ILLINOIS INC.

Authorized official RICHARD ISAIA - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/02/2016

Last updated 01/24/2017 - About 9 years ago

Identifiers

IL	License #	0021493
IL	Medicaid	0021493

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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APOSTOLIC CHRISTIAN HOME OF ROANOKE ILLINOIS INC.

Contact Information

Specialty

Oxygen Equipment & Supplies

NPI Profile & details for APOSTOLIC CHRISTIAN HOME OF ROANOKE ILLINOIS INC.

Reviews for APOSTOLIC CHRISTIAN HOME OF ROANOKE ILLINOIS INC.