Provider Demographics
NPI:1215233150
Name:RFY HOME HEALTH, LLC
Entity type:Organization
Organization Name:RFY HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HENEGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:847-803-0774
Mailing Address - Street 1:200 HOWARD AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-5906
Mailing Address - Country:US
Mailing Address - Phone:847-803-0774
Mailing Address - Fax:847-803-0821
Practice Address - Street 1:200 HOWARD AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-5906
Practice Address - Country:US
Practice Address - Phone:847-803-0774
Practice Address - Fax:847-803-0821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011355251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
147708Medicare UPIN