Provider Demographics
NPI:1043369358
Name:HOME HEALTH NETWORK, INC
Entity Type:Organization
Organization Name:HOME HEALTH NETWORK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RIZWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-884-1115
Mailing Address - Street 1:3100 WEST HIGGINS ROAD
Mailing Address - Street 2:SUITE 100B
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2093
Mailing Address - Country:US
Mailing Address - Phone:847-884-1115
Mailing Address - Fax:847-884-1118
Practice Address - Street 1:3100 W HIGGINS RD
Practice Address - Street 2:SUITE 100B
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2093
Practice Address - Country:US
Practice Address - Phone:847-884-1115
Practice Address - Fax:847-884-1118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011055251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147577Medicare ID - Type UnspecifiedMEDICARE PROV #