Organization
AVIENSE HOME HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA SEGALA (PRESIDENT)
(815) 230-5100
Entity
Organization
Contact information
Practice address
5105 TOLLVIEW DR STE 180, ROLLING MEADOWS, IL 60008-3724
(815) 230-5100
(815) 846-0841
Mailing address
5105 TOLLVIEW DR STE 180, ROLLING MEADOWS, IL 60008-3724
(815) 230-5100
(815) 846-0841
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012044
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
11/17/2020
Last updated
09/05/2024
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