Organization
PROCARE HOME HEALTH INC
Active
Other names
VNA Healthtrends, LTD
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE M HENEGHAN RN (EXECUTIVE VICE PRESIDENT)
(847) 803-0774
Entity
Organization
Contact information
Practice address
200 HOWARD AVE, STE 248, DES PLAINES, IL 60018-5906
(847) 803-0774
(847) 803-0821
Mailing address
200 HOWARD AVE, STE 248, DES PLAINES, IL 60018-5906
(847) 803-0774
(847) 803-0821
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1009042
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5142
BLUE CROSS PROVIDER NUMBE
IL
Enumeration date
12/02/2005
Last updated
11/16/2011
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