Provider Demographics
NPI:1619317864
Name:IMPULSE HOME HEALTH INC.
Entity Type:Organization
Organization Name:IMPULSE HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARMELO
Authorized Official - Middle Name:
Authorized Official - Last Name:PARANAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-226-2303
Mailing Address - Street 1:684 W BOUGHTON RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-1781
Mailing Address - Country:US
Mailing Address - Phone:630-226-2303
Mailing Address - Fax:630-226-2304
Practice Address - Street 1:684 W BOUGHTON RD
Practice Address - Street 2:SUITE 204
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-1781
Practice Address - Country:US
Practice Address - Phone:630-226-2303
Practice Address - Fax:630-226-2304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011533251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1011533OtherIDPH