Provider Demographics
NPI:1245332402
Name:MED PLUS HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:MED PLUS HOME HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MIREE
Authorized Official - Suffix:SR
Authorized Official - Credentials:LNHA, LPN
Authorized Official - Phone:708-518-0041
Mailing Address - Street 1:15119 WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:DOLTON
Mailing Address - State:IL
Mailing Address - Zip Code:60419-2816
Mailing Address - Country:US
Mailing Address - Phone:708-942-1006
Mailing Address - Fax:708-942-1007
Practice Address - Street 1:15119 WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:DOLTON
Practice Address - State:IL
Practice Address - Zip Code:60419-2816
Practice Address - Country:US
Practice Address - Phone:708-942-1006
Practice Address - Fax:708-942-1007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1764076251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health