Circle of Friends Home Health Care,LLC
Organization Active NPI Home Health Agency · Lyons, IL
NPI 1962642033 · NPPES record last updated Mar 2, 2009
Key facts
- NPI
- 1962642033
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- APPLIED FOR (IL)
- Legal business name
- CIRCLE OF FRIENDS HOME HEALTH CARE,LLC
- Practice address
- 7848 W Odgen Ave
Lyons, IL 60534-1389 - Phone
- (708) 442-4962
- Fax
- (708) 442-4962
- NPI assigned
- Mar 2, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Sudhir Kumar, OTR/L
- Title
- Administrator
- Phone
- (708) 442-4962
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Circle of Friends Home Health Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | APPLIED FOR | IL | Yes |
Addresses
Primary practice location
7848 W Odgen Ave
Lyons, IL 60534-1389
Mailing address
7848 W. Ogden Ave-B East
Lyons, IL 60534-1389
Phone (708) 442-4962
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APPLIED FOR LICENSUR | Medicaid | IL |
Other providers in Lyons, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2009. 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.