Organization · Type 2 NPI

Fayette County

Home Health Agency · Vandalia, IL

NPI number 1174523914 Active

Practice location

416 W Edwards St
Vandalia, IL 62471-2706

Fax (618) 283-5039

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000X1625062 (IL)
Community Based Hospice Care Agency 251G00000X1863108 (IL)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

Another provider at this address

About NPI 1174523914

Fayette County's National Provider Identifier is 1174523914, issued on Jul 22, 2005. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Vandalia, IL. The record was last updated on Feb 2, 2017.