Blackbag Home Physician Service Llc

LBN: Blackbag Home Physician Service Llc
Blackbag Home Physician Service Llc is an health care organization with primary practice located at 437 Navajo St , Park Forest IL 60466-2520. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Blackbag Home Physician Service Llc can be contacted via phone (815) 406-5011, or through Hampton, Nichelle via phone (312) 399-0285.

Contact Information

Primary practice address
437 Navajo St Park Forest IL 60466-2520
Phone: (815) 406-5011
Fax: (888) 311-8610
Website:
Map and Directions
Authorized official contact:
Name: Hampton, Nichelle
Phone: (312) 399-0285

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1770824161
LBN Legal business name Blackbag Home Physician Service Llc
DBA Doing business as
Authorized official Hampton, Nichelle
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2013
Last updated Dec 21st, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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