CCN: 148353 NPI: 1528385648 Organization

PROHEALTH HOMECARE AGENCY, INC

15132 S SUMMIT AVENUE , SUITE 300
OAKBROOK TERRACE, IL 601813942

Contact Information

Phone 6304249498
Fax 6304243488
Enumeration Date 2010-04-28
Last Updated 2018-09-07

Taxonomies

Code: 251E00000X
Code: 251E00000X (Primary) License State: IL License: 1011353

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 36

vbpAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 36

vbpAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 36

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 16974

providerType 36

specialPaymentIndicator

carrierCode 06102

localityCode 15