Provider Demographics
NPI:1528327103
Name:IRIS HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:IRIS HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARACELI
Authorized Official - Middle Name:B
Authorized Official - Last Name:LEAR
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN MSHA
Authorized Official - Phone:309-263-4787
Mailing Address - Street 1:7150 N UNIVERSITY ST
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-1752
Mailing Address - Country:US
Mailing Address - Phone:309-649-6002
Mailing Address - Fax:309-649-6005
Practice Address - Street 1:7150 N UNIVERSITY ST
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-1752
Practice Address - Country:US
Practice Address - Phone:309-649-6002
Practice Address - Fax:309-649-6005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011557251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health