# LAKEWOOD HOME HEALTH CARE

> 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:** 1922317445
- **Authorized official:** DERRICK BEASLEY (PRESIDENT)
- **Authorized official phone:** (224) 565-6284

## Contact information

- **Practice address:** 9205 S KEATING AVE, OAK LAWN, IL 60453-2582
- **Practice address phone:** (708) 229-8060
- **Mailing address:** 9205 S KEATING AVE, OAK LAWN, IL 60453-2582
- **Mailing address phone:** (708) 229-8060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1011347 | IL | Yes |

## Other

- **Enumeration date:** 10/01/2010
- **Last updated:** 10/01/2010