NPI 1215601976 · live from the CMS NPI Registry
Active Home Healthcare INC
Home Health Aide in Bloomington, IL. National Provider Identifier 1215601976, active.
NPI record
| NPI | 1215601976 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health Aide 374U00000X |
| Practice location | 2108 Altoona Rd, Bloomington, IL 61705 |
| Practice phone | 309-838-5772 |
| Enumerated | August 5, 2021 |
| Last updated | August 5, 2021 |
| Authorized official | Wyndy Jenkins, President/Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide primary | 374U00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.