# I J HEALTHCARE NURSING RESOURCE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1316991573
- **Authorized official:** MS. JOLLY SAMUEL RN (OWNER)
- **Authorized official phone:** (708) 620-8599

## Contact information

- **Practice address:** 8200 185TH ST STE H14, TINLEY PARK, IL 60487-9308
- **Practice address phone:** (708) 620-8599
- **Practice address fax:** (708) 620-8874
- **Mailing address:** 8130 APACHE TRL, TINLEY PARK, IL 60477-6530
- **Mailing address phone:** (708) 620-8599
- **Mailing address fax:** (708) 620-8874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010445 | IL | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 07/21/2022