Provider Demographics
NPI:1407809379
Name:COMPMED HOME HEALTH, INC.
Entity type:Organization
Organization Name:COMPMED HOME HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-674-6796
Mailing Address - Street 1:2720 S RIVER RD STE 135
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4111
Mailing Address - Country:US
Mailing Address - Phone:847-674-6796
Mailing Address - Fax:224-534-3898
Practice Address - Street 1:2720 S RIVER RD STE 135
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4111
Practice Address - Country:US
Practice Address - Phone:847-674-6796
Practice Address - Fax:224-534-3898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011231251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL50390OtherBCBS OF ILLINOIS
IL=========002Medicaid
IL=========002Medicaid