Provider Demographics
NPI:1033162516
Name:HOME HEALTH CARE PLUS, INC.
Entity type:Organization
Organization Name:HOME HEALTH CARE PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAVISON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS
Authorized Official - Phone:309-353-7300
Mailing Address - Street 1:514 COURT ST
Mailing Address - Street 2:
Mailing Address - City:PEKIN
Mailing Address - State:IL
Mailing Address - Zip Code:61554-3301
Mailing Address - Country:US
Mailing Address - Phone:309-353-7300
Mailing Address - Fax:309-353-7311
Practice Address - Street 1:514 COURT ST
Practice Address - Street 2:
Practice Address - City:PEKIN
Practice Address - State:IL
Practice Address - Zip Code:61554-3301
Practice Address - Country:US
Practice Address - Phone:309-353-7300
Practice Address - Fax:309-353-7311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILIL1006998251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9959OtherBCBS PROVIDER NUMBER
IL147585Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER