Provider Demographics
NPI:1144411729
Name:US HOSPICE AND HOME HEALTH CORP.
Entity Type:Organization
Organization Name:US HOSPICE AND HOME HEALTH CORP.
Other - Org Name:VISITING NURSES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:G S
Authorized Official - Last Name:THANUGUNDLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-416-3800
Mailing Address - Street 1:5860 N LINCOLN AVE
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4631
Mailing Address - Country:US
Mailing Address - Phone:773-416-3800
Mailing Address - Fax:773-728-6853
Practice Address - Street 1:5860 N LINCOLN AVE
Practice Address - Street 2:FLOOR 2
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-4631
Practice Address - Country:US
Practice Address - Phone:773-416-3800
Practice Address - Fax:773-728-6853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILIL1010927251E00000X
251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL148061Medicare Oscar/Certification