Provider Demographics
NPI:1467433185
Name:ORION HOME HEALTH INC
Entity Type:Organization
Organization Name:ORION HOME HEALTH INC
Other - Org Name:ULTIMATE HOME HEALTH INC OF IL
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANJUM
Authorized Official - Middle Name:
Authorized Official - Last Name:SULTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-410-0240
Mailing Address - Street 1:5836 LINCOLN AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-3351
Mailing Address - Country:US
Mailing Address - Phone:847-410-0240
Mailing Address - Fax:847-410-0242
Practice Address - Street 1:5836 LINCOLN AVE STE 120
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-3351
Practice Address - Country:US
Practice Address - Phone:847-410-0240
Practice Address - Fax:847-410-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010281251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147778Medicare ID - Type Unspecified