Organization
RED BUD HOME CARE SERVICES, LLC
Active
Other names
Red Bud Regional Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
115 W MARKET ST STE 101, RED BUD, IL 62278-1026
(618) 282-3338
(618) 282-3348
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010176
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364443919-003
—
IL
01
—
50021
BC PROVIDER NUMBER
IL
Enumeration date
04/06/2006
Last updated
09/25/2023
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