Provider Demographics
NPI:1154622637
Name:DELUXE HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:DELUXE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MACKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-963-8696
Mailing Address - Street 1:6800 MAIN ST
Mailing Address - Street 2:SUITE 020
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-3493
Mailing Address - Country:US
Mailing Address - Phone:630-310-8696
Mailing Address - Fax:815-550-8548
Practice Address - Street 1:6800 MAIN ST
Practice Address - Street 2:SUITE 020
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60516-3493
Practice Address - Country:US
Practice Address - Phone:630-310-8696
Practice Address - Fax:815-550-8548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health