ELVA GENTRY

On Hold
Details
Basic Information
Patient Record Number: GE163570
Date of Birth: 03/05/1940
Age: 85
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (708) 748-3951
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 03/31/2022
Address Information
21208 MAIN STREET
Matteson, IL 60443
Coordinates: 41.504021, -87.70365919999999
Home Health Nurse
COMPLETE HOME HEALTH SERVICES
Phone: 708-474-9234
Fax: 708-333-1701
Status: Inactive
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications

No certifications found

Discharge History
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No discharge history

Patient Actions
Appointment History
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485 Certifications

No 485 certifications found for this patient

Patient On Hold
Hold Reason: no 485 in PF
Hold Since: 07/03/2025
Hold Until: Indefinite