Provider Demographics
NPI:1740592336
Name:PEAK HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:PEAK HOME HEALTH CARE, LLC
Other - Org Name:NEWSOME HOME HEALTH CARE AGENCY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKOMIAK
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:815-744-4770
Mailing Address - Street 1:920 ESSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-2859
Mailing Address - Country:US
Mailing Address - Phone:815-744-4770
Mailing Address - Fax:815-744-4772
Practice Address - Street 1:920 ESSINGTON RD
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-2859
Practice Address - Country:US
Practice Address - Phone:815-744-4770
Practice Address - Fax:815-744-4772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-12
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011317251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1011317OtherSTATE LICENSE NUMBER