# TRI-STATE HOME HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tri-State Home HealthCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154663995
- **Authorized official:** VICTOR O MENSAH M.D (CEO/PRESIDENT)
- **Authorized official phone:** (630) 945-7797

## Contact information

- **Practice address:** 750 KIWANIS DR, SUITE 204, FREEPORT, IL 61032-7119
- **Practice address phone:** (815) 232-4040
- **Practice address fax:** (815) 232-4055
- **Mailing address:** 750 KIWANIS DR, SUITE 204, FREEPORT, IL 61032-7119
- **Mailing address phone:** (815) 232-4040
- **Mailing address fax:** (815) 232-4055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2013
- **Last updated:** 03/20/2013