Organization
RISING SUN HOME HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD ENRIQUEZ (ADMINISTRATOR)
(708) 397-5568
Entity
Organization
Contact information
Practice address
10330 W ROOSEVELT RD STE 310, WESTCHESTER, IL 60154-2566
(708) 397-5568
(708) 397-5582
Mailing address
10330 W ROOSEVELT RD STE 310, WESTCHESTER, IL 60154-2566
(708) 397-5568
(708) 397-5582
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010465
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147875
CMS PROVIDER NUMBER
IL
Enumeration date
07/06/2006
Last updated
04/03/2019
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