Organization
RESIDENTIAL HOME HEALTH ILLINOIS, LLC
Active
Other names
Residential Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID K CURTIS (PRESIDENT)
(248) 524-6401
Entity
Organization
Contact information
Practice address
1431 OPUS PLACE, SUITE 310, DOWNERS GROVE, IL 60515
(866) 902-4000
(866) 903-4000
Mailing address
5440 CORPORATE DRIVE, SUITE 400, TROY, MI 48098
(866) 902-4000
(866) 903-4000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1006758
IL
251E00000X
Home Health Agency
Primary
1011738
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36396225301
—
IL
01
—
9875
BLUE CROSS
IL
Enumeration date
03/28/2006
Last updated
03/27/2015
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