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  • 147559
CCN: 147559 NPI: 1568461820 Organization

PROVIDENCE AT HOME

14301 INDEPENDENCE WAY
HOMER GLEN, IL 604917210

Contact Information

  • Phone 8005092800
  • Fax 7088774818
  • Enumeration Date 2005-07-19
  • Last Updated 2025-10-01

Taxonomies

  • Code: 251E00000X (Primary) License State: IL License: 1010138

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36
censusDivision 4
cbsaActualGeographicLocation 16974
providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 16974
providerType 36
specialPaymentIndicator 1
carrierCode 06102
localityCode 16
cbsaActualGeographicLocation 16974
providerType 36
specialPaymentIndicator 1
carrierCode 06102
localityCode 16
cbsaActualGeographicLocation 16974
providerType 36
specialPaymentIndicator 1
carrierCode 06102
localityCode 16
cbsaActualGeographicLocation 16974
providerType 36
specialPaymentIndicator
carrierCode 06102
localityCode 16
cbsaActualGeographicLocation 16974
providerType 36
specialPaymentIndicator
carrierCode 06102
localityCode 16

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