# HOMELAND HOMEHEALTH PROVIDER, INC,

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

## Provider details

- **NPI number:** 1740430826
- **Authorized official:** MRS. WARDIA KANDO (PRESIDENT)
- **Authorized official phone:** (847) 493-9328

## Contact information

- **Practice address:** 8031 N MILWAUKEE AVE FL 2, NILES, IL 60714-2827
- **Practice address phone:** (847) 410-2851
- **Practice address fax:** (847) 410-2720
- **Mailing address:** 8031 N MILWAUKEE AVE STE 200, NILES, IL 60714-2827
- **Mailing address phone:** (847) 983-4364
- **Mailing address fax:** (847) 983-4157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1011931 | IL | Yes |

## Other

- **Enumeration date:** 09/24/2008
- **Last updated:** 11/29/2017