institution
Divine Providence Home Health Agency, Inc.
Home Health Agency in Chicago, Illinois
NPI 1942307145

Divine Providence Home Health Agency, Inc. is a Home Health Agency based in Chicago, IL. Divine Providence Home Health Agency, Inc. practices in Chicago, IL. The NPI Number for Divine Providence Home Health Agency, Inc. is 1942307145 and holds a License No. 1010341 (Illinois).

The current practice location address for Divine Providence Home Health Agency, Inc. is 3550 W Peterson Ave, Chicago, IL and can be reached out via phone at 773-433-3320 and via fax at 773-433-3329.

Location: 3550 W Peterson Ave, Chicago, IL, 60659-3270
institution
Provider Profile Details
NPI Number
1942307145
Provider Name
Divine Providence Home Health Agency, Inc.
Credential
Provider Entity Type
Organization
Address
3550 W Peterson Ave, Chicago, IL, 60659-3270
Phone Number
773-433-3320
Fax Number
773-433-3329
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1010341 01 IL HOME HEALTH LICENSE
institution
Provider Business Practice Location Address Details
Address
3550 W Peterson Ave
City
State
Zip
60659-3270
Phone Number
773-433-3320
Fax Number
773-433-3329
person
Provider Business Mailing Address Details
Address
3550 W Peterson Ave
City
State
Zip
60659-3270
Phone Number
773-433-3320
Fax Number
773-433-3329
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
1010341 (Illinois)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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