Provider Demographics
NPI:1073389227
Name:PERRICHAIR LLC
Entity Type:Organization
Organization Name:PERRICHAIR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:JUDE
Authorized Official - Last Name:EHRENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:FOUNDER
Authorized Official - Phone:872-278-5699
Mailing Address - Street 1:330 N RIVER GLEN AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2110
Mailing Address - Country:US
Mailing Address - Phone:872-278-5699
Mailing Address - Fax:
Practice Address - Street 1:330 N RIVER GLEN AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2110
Practice Address - Country:US
Practice Address - Phone:872-278-5699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health