Provider Demographics
NPI:1376708412
Name:BG HOME HEALTH PROVIDERS, LLC
Entity Type:Organization
Organization Name:BG HOME HEALTH PROVIDERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCYNA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BIGAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-656-5035
Mailing Address - Street 1:133 W RAND RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3142
Mailing Address - Country:US
Mailing Address - Phone:847-565-5035
Mailing Address - Fax:847-656-5012
Practice Address - Street 1:133 W RAND RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3142
Practice Address - Country:US
Practice Address - Phone:847-565-5035
Practice Address - Fax:847-656-5012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010915251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL148015Medicare Oscar/Certification