NPI 1043862477 · live from the CMS NPI Registry
1st Juvenant Care LLC
Home Health in Warrenville, IL. National Provider Identifier 1043862477, active.
NPI record
| NPI | 1043862477 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 4320 Winfield Rd Ste 200, Warrenville, IL 60555 |
| Practice phone | 773-249-4377 |
| Enumerated | July 16, 2019 |
| Last updated | July 16, 2019 |
| Authorized official | Hassan Matovu, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.