Provider Demographics
NPI:1194509430
Name:ONE4SEVEN LLC
Entity type:Organization
Organization Name:ONE4SEVEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:H
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-828-5155
Mailing Address - Street 1:128 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2242
Mailing Address - Country:US
Mailing Address - Phone:630-828-5155
Mailing Address - Fax:630-828-5361
Practice Address - Street 1:128 JAMES ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2242
Practice Address - Country:US
Practice Address - Phone:630-828-5155
Practice Address - Fax:630-828-5361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care