1467745091 NPI number — HELP AT HOME, LLC

Table of content: (NPI 1467745091)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467745091 NPI number — HELP AT HOME, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELP AT HOME, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467745091
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/09/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
33 S STATE ST FL 5
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60603-2804
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
312-762-9999
Provider Business Mailing Address Fax Number:
833-561-8574

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4404 COLUMBIA RD
Provider Second Line Business Practice Location Address:
SUITE 1C
Provider Business Practice Location Address City Name:
MARTINEZ
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30907-4552
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-404-3191
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/16/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BONACCORSI
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF LEGAL OFFICER
Authorized Official Telephone Number:
312-762-9999

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)