# ACTIVE HOME HEALTH CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245565654
- **Authorized official:** DR. KHALED HUSSEIN DPT (ADMINISTRATOR)
- **Authorized official phone:** (708) 499-2622

## Contact information

- **Practice address:** 5009 W 95TH ST, OAK LAWN, IL 60453-2401
- **Practice address phone:** (708) 499-2622
- **Practice address fax:** (708) 499-9466
- **Mailing address:** 5009 W 95TH ST, OAK LAWN, IL 60453-2401
- **Mailing address phone:** (708) 499-2622
- **Mailing address fax:** (708) 499-9466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1011140 | IL | Yes |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 10/03/2009
- **Last updated:** 04/15/2020
