Provider Demographics
NPI:1992563704
Name:LUXE HOME HEALTH LLC
Entity type:Organization
Organization Name:LUXE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCHUPARAMBIL
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:847-372-5920
Mailing Address - Street 1:2860 S RIVER RD STE 270
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-6006
Mailing Address - Country:US
Mailing Address - Phone:847-372-5920
Mailing Address - Fax:847-588-1147
Practice Address - Street 1:1563 E 85TH AVE
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-8901
Practice Address - Country:US
Practice Address - Phone:219-837-0401
Practice Address - Fax:219-206-4296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health