CCN: 148403 NPI: 1265014245 Organization

Buena Vida Home Health Agency Inc.

5318 W DEVON AVE
CHICAGO, IL 606464108

Contact Information

Phone 7738755879
Enumeration Date 2021-04-28
Last Updated 2021-04-28

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 16974

providerType 36

carrierCode 06102

localityCode 16