# HOME LIFE HEALTHCARE, CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home Life Healthcare,Corp.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447491519
- **Authorized official:** RAJ MAHTANI (HEALTHCARE ADMINISTRATOR)
- **Authorized official phone:** (847) 143-1611

## Contact information

- **Practice address:** 1020 W GOLF RD, HOFFMAN ESTATES, IL 60169-1340
- **Practice address phone:** (847) 413-1611
- **Practice address fax:** (847) 908-9011
- **Mailing address:** 1020 W GOLF RD, HOFFMAN ESTATES, IL 60169-1340
- **Mailing address phone:** (847) 413-1611
- **Mailing address fax:** (847) 908-9011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010985 | IL | Yes |
| 251F00000X | Home Infusion Agency | 1010985 | IL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | 3000861 | IL | — |

## Other

- **Enumeration date:** 03/18/2009
- **Last updated:** 09/21/2022