Provider Demographics
NPI:1851602957
Name:PRECIOUS LIFE HOME HEALTH LLC
Entity Type:Organization
Organization Name:PRECIOUS LIFE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADRIANO
Authorized Official - Suffix:
Authorized Official - Credentials:SN
Authorized Official - Phone:630-635-2655
Mailing Address - Street 1:303 E ARMY TRAIL RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2143
Mailing Address - Country:US
Mailing Address - Phone:630-635-2655
Mailing Address - Fax:630-635-2656
Practice Address - Street 1:303 E ARMY TRAIL RD STE 201
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2143
Practice Address - Country:US
Practice Address - Phone:630-635-2655
Practice Address - Fax:630-635-2656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011247251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL148301Medicare Oscar/Certification