# PREMIUM HOME HEALTH CARE, INC.

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

## Provider details

- **NPI number:** 1972758621
- **Authorized official:** MS. PACITA GADIA RN (ADMINISTRATOR/DIRECTOR OF NURSING)
- **Authorized official phone:** (847) 673-5600

## Contact information

- **Practice address:** 7161 N CICERO AVE, SUITE 200, LINCOLNWOOD, IL 60712-2194
- **Practice address phone:** (847) 673-5600
- **Practice address fax:** (847) 673-8744
- **Mailing address:** 7161 N CICERO AVE, SUITE 200, LINCOLNWOOD, IL 60712-2194
- **Mailing address phone:** (847) 673-5600
- **Mailing address fax:** (847) 673-8744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010873 | IL | Yes |

## Other

- **Enumeration date:** 11/21/2008
- **Last updated:** 11/21/2008