Icg Home Health
Organization Active NPI Nursing Facility/Intermediate Care Facility · Richton Park, IL
NPI 1386094068 · NPPES record last updated Jun 14, 2016
Key facts
- NPI
- 1386094068
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 041379716 (IL)
- Legal business name
- ICG HOME HEALTH
- Practice address
- 4508 Camden CT
Richton Park, IL 60471-1147 - Phone
- (708) 369-1329
- NPI assigned
- Jun 14, 2016
- Organization subpart
- No
Authorized official
- Name
- Tiffanie Dionne Johnson, REGISTERED NURSE
- Title
- Home Health RN
- Phone
- (708) 369-1329
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 041379716 | IL | Yes |
Addresses
Primary practice location
4508 Camden CT
Richton Park, IL 60471-1147
Mailing address
4508 Camden CT
Richton Park, IL 60471-1147
Other providers in Richton Park, IL
- Chauntina L. Haskin
- Heavenly Helpers
- Here and There Transportation
- Sharon Holmes
- Lashonda Howell
- Nwadiutor O Ifezue
- Imago Dei Mental Wellness, LLC
- Innerwork Wellness, LLC
- Inspiring Hearts Homecare LLC
- Intuitive Medical
All providers in Richton Park, IL · Nursing Facility/Intermediate Care Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.