Provider Demographics
NPI:1518584580
Name:ARG HOME SERVICE AGENCY LLC
Entity type:Organization
Organization Name:ARG HOME SERVICE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-274-0005
Mailing Address - Street 1:917 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:BELLWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60104-2204
Mailing Address - Country:US
Mailing Address - Phone:708-844-8994
Mailing Address - Fax:800-520-8183
Practice Address - Street 1:917 25TH AVE
Practice Address - Street 2:
Practice Address - City:BELLWOOD
Practice Address - State:IL
Practice Address - Zip Code:60104-2204
Practice Address - Country:US
Practice Address - Phone:708-844-8994
Practice Address - Fax:800-520-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-25
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health