Organization
HARMONY HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLORENCIO D. GERONIMO JR. (ADMINISTRATOR)
(708) 274-4420
Entity
Organization
Contact information
Practice address
245 W ROOSEVELT RD # 130-131, WEST CHICAGO, IL 60185-3739
(708) 274-4420
(708) 274-4427
Mailing address
245 W ROOSEVELT RD BLDG 130-131, WEST CHICAGO, IL 60185-3739
(708) 274-4420
(708) 274-4427
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010530
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010530
IDPH LICENSE NUMBER
IL
01
—
147929
MEDICARE PROVIDER NUMBER
IL
01
—
14D1044975
CMS- CLIA CERT. OF WAIVER
IL
01
—
1972533735
NPPES
IL
Enumeration date
07/04/2006
Last updated
02/27/2024
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