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Contact Information

HOME LIFE HEALTHCARE, CORP.
1020 W GOLF RD
HOFFMAN ESTATES, IL60169-1340
 Phone: 847-413-1611
 Fax: 847-908-9011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Home Infusion

251F00000X
 

In Home Supportive Care

253Z00000X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for HOME LIFE HEALTHCARE, CORP.

NPI # 1447491519
LBN Legal business name HOME LIFE HEALTHCARE, CORP.
Authorized official RAJ MAHTANI - (HEALTHCARE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2009
Last updated 09/21/2022 - About 4 years ago
Identifiers
IL License # 1010985
IL License # 3000861
IL Other 1012066 STATE OF ILLINOIS - HOME HEALTH
IL Other 4000692 STATE OF ILLINOIS - HOME NURSING AGENCY
IL Other 3002017 STATE OF ILLINOIS - HOME SERVICE AGENCY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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