Organization · Type 2 NPI

Provider Healthcare Services, Inc

Home Health Agency · Kankakee, IL

NPI number 1417352105 Active

Practice location

555 South Schuyler, Suite 275
Kankakee, IL 60901

Call (773) 301-8464 Map

Fax (773) 530-2643

Mailing address

555 S Schuyler Ave, Suite 275
Kankakee, IL 60901-5146

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000X1011663 (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…

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About NPI 1417352105

Provider Healthcare Services, Inc's National Provider Identifier is 1417352105, issued on Oct 24, 2014. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Kankakee, IL. The record was last updated on Oct 27, 2014.