Organization
BLUE ISLAND HOME CARE SERVICES LLC
Active
Other names
LHC-Illinois Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (SECRETARY / TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
311 S COUNTY FARM RD STE A, WHEATON, IL 60187-2477
(630) 668-4605
(630) 480-4135
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
1011054
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011054
STATE LICENSE
IL
Enumeration date
02/09/2012
Last updated
01/12/2021
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