Organization · Type 2 NPI

Illinois Liv, LLC

Home Health Agency · Moline, IL

NPI number 1477979078 Active

Practice location

7017 John Deere Pkwy Ste 2A
Moline, IL 61265-8037

Call (309) 623-4022 Map

Fax (309) 792-7296

Mailing address

PO Box 51266
Lafayette, LA 70505-1266

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

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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NPI record

NPI: 1477979078
Entity type: Organization (Type 2)
Issued: Mar 7, 2014
Last updated: Feb 7, 2023
Status: Active

Other names

<unavail>
Northwestern Illinois Home Health · doing business as
Northwestern Illinois Home Health · doing business as

Authorized official

Mr. Nicholas Gachassin
Executive Vice President
(337) 233-1307

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477979078

Illinois Liv, LLC's National Provider Identifier is 1477979078, issued on Mar 7, 2014. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Moline, IL. The record was last updated on Feb 7, 2023.