Organization
TOTAL HOME HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN PORTER KIRK (PRESIDENT)
(847) 815-4895
Entity
Organization
Contact information
Practice address
1548 E ALGONQUIN RD # 512, ALGONQUIN, IL 60102-4519
(847) 815-4895
(847) 628-0710
Mailing address
1548 E ALGONQUIN RD # 512, ALGONQUIN, IL 60102-4519
(847) 815-4895
(847) 628-0710
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045-71010
BCBS PROVIDER NUMBER
IL
05
—
333698548002
—
IL
Enumeration date
11/02/2005
Last updated
01/31/2011
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