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Contact Information

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

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for HOME LIFE HEALTHCARE, CORP.

NPI Number 1649622440
LBN Legal business name HOME LIFE HEALTHCARE, CORP.
Authorized official RAJ MAHTANI - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/06/2016
Last updated 09/21/2022 - About 4 years ago
Identifiers
IL License # 3000861
IL Medicaid 1012066
IL Medicaid 3002017
IL Medicaid 4000692
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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