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Organization
SPRING HOME HEALTHCARE INC
Active
Organization
SPRING HOME HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMOLOLA I ASIELUE DR (ADMINISTRATOR)
(773) 654-1678
Entity
Organization
Contact information
Practice address
2622 W PETERSON AVE STE 6, CHICAGO, IL 60659-4032
(773) 654-1678
(773) 943-6352
Mailing address
2622 W PETERSON AVE STE 6, CHICAGO, IL 60659-4032
(773) 654-1678
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
251J00000X
Nursing Care Agency
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24825485001
—
IL
Enumeration date
09/22/2021
Last updated
05/19/2025
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