Provider Demographics
NPI:1992711311
Name:ASSOCIATES HOME HEALTH INC
Entity type:Organization
Organization Name:ASSOCIATES HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:P
Authorized Official - Last Name:TUAZON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:847-375-6900
Mailing Address - Street 1:2200 E DEVON AVE
Mailing Address - Street 2:SUITE 255
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4503
Mailing Address - Country:US
Mailing Address - Phone:847-375-6900
Mailing Address - Fax:847-375-6901
Practice Address - Street 1:2200 E DEVON AVE
Practice Address - Street 2:SUITE 255
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4503
Practice Address - Country:US
Practice Address - Phone:847-375-6900
Practice Address - Fax:847-375-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILIL1010393251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1992711311OtherNPPES
IL147831Medicare PIN
IL147831Medicare Oscar/Certification
IL1992711311OtherNPPES