Organization
B AND K ILLINOIS, LLC
Active
Other names
Right At Home Peoria Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN A BRAGGS NA (OWNER/PRESIDENT)
(630) 776-2067
Entity
Organization
Contact information
Practice address
100 WALNUT ST, PEORIA, IL 61602-1552
(630) 776-2067
Mailing address
100 WALNUT ST APT 403, PEORIA, IL 61602-1533
(630) 776-2067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164W00000X
164W00000X
IL
Enumeration date
03/15/2022
Last updated
05/18/2025
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