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Contact Information

MAKE A WISH HOME CARE LLC
111 N WABASH AVE STE 100
CHICAGO, IL60602-1903
 Phone: 207-515-8850
 Fax: 224-252-9964
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Home Delivered Meals

332U00000X 87 All Other Suppliers
 

Home Health

251E00000X A4[11] Home Health Agency
 

Non-emergency Medical Transport (VAN)

343900000X
 

Respite Care

385H00000X
Indicates primary specialty

NPI Profile & details for MAKE A WISH HOME CARE LLC

NPI # 1619725702
LBN Legal business name MAKE A WISH HOME CARE LLC
Authorized official SHANELL HAYES - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/13/2024
Last updated 07/07/2025 - About 11 months ago
Identifiers n/a
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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