# NEXUS HOME HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578692661
- **Authorized official:** MR. GLENN LEONG MANGUERRA (PRESIDENT)
- **Authorized official phone:** (708) 529-3840

## Contact information

- **Practice address:** 4020 W 111TH ST, SUITE 204, OAK LAWN, IL 60453-5783
- **Practice address phone:** (708) 529-3840
- **Practice address fax:** (800) 406-7310
- **Mailing address:** 4020 W 111TH ST, SUITE 204, OAK LAWN, IL 60453-5783
- **Mailing address phone:** (708) 529-3840
- **Mailing address fax:** (800) 406-7310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010479 | IL | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 12/23/2008
