Provider Demographics
NPI:1366316325
Name:EPIC HEALTH L.L.C. DBA EPIC HEALTH
Entity type:Organization
Organization Name:EPIC HEALTH L.L.C. DBA EPIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORINE
Authorized Official - Middle Name:EDINAM
Authorized Official - Last Name:BERRY-GBEKOU
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:850-339-7746
Mailing Address - Street 1:655 LONGTREE DR
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-5546
Mailing Address - Country:US
Mailing Address - Phone:850-339-7746
Mailing Address - Fax:
Practice Address - Street 1:1450 BUSCH PKWY STE 100
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-4541
Practice Address - Country:US
Practice Address - Phone:850-339-7746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty