# HOME BOUND HEALTHCARE, INC.

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

## Provider details

- **NPI number:** 1710958533
- **Authorized official:** MRS. JULIETA MITRA JR. (PRESIDENT/SECRETARY/TREASURER)
- **Authorized official phone:** (708) 798-0800

## Contact information

- **Practice address:** 14216 MCCARTHY RD UNIT A, LEMONT, IL 60439-9393
- **Practice address phone:** (708) 798-0800
- **Practice address fax:** (708) 798-0870
- **Mailing address:** 14216 MCCARTHY RD UNIT A, LEMONT, IL 60439-9393
- **Mailing address phone:** (708) 798-0800
- **Mailing address fax:** (708) 798-0870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010413 | IL | — |
| 251E00000X | Home Health Agency | 1011897 | IL | Yes |
| 291U00000X | Clinical Medical Laboratory | 14D1036623 | NULL | — |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 02/01/2017