NPI 1245565654 · live from the CMS NPI Registry
Active Home Health Care Services
Home Health in Oak Lawn, IL. National Provider Identifier 1245565654, active.
NPI record
| NPI | 1245565654 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 5009 W 95th St, Oak Lawn, IL 60453 |
| Practice phone | 708-499-2622 |
| Enumerated | October 3, 2009 |
| Last updated | April 15, 2020 |
| Authorized official | Khaled Hussein, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Homemaker | 376J00000X | — |
| Home Health primary | 251E00000X | 1011140 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.