Provider Demographics
NPI:1295414324
Name:PRIORITY HOME HEALTHCARE INC.
Entity type:Organization
Organization Name:PRIORITY HOME HEALTHCARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OMOBOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:IKHATUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-941-1086
Mailing Address - Street 1:2615 W FITCH AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-3138
Mailing Address - Country:US
Mailing Address - Phone:773-941-1086
Mailing Address - Fax:
Practice Address - Street 1:2615 W FITCH AVE APT 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-3138
Practice Address - Country:US
Practice Address - Phone:773-941-1086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty