Provider Demographics
NPI:1265635775
Name:HOMEHEALTH CONNECT INC
Entity Type:Organization
Organization Name:HOMEHEALTH CONNECT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIETA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMANTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-258-4603
Mailing Address - Street 1:2340 S ARLINGTON HEIGHTS RD STE 420
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4507
Mailing Address - Country:US
Mailing Address - Phone:847-258-4603
Mailing Address - Fax:847-258-4630
Practice Address - Street 1:2340 S ARLINGTON HEIGHTS RD STE 420
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4507
Practice Address - Country:US
Practice Address - Phone:847-258-4603
Practice Address - Fax:847-258-4630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL148069251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health