Organization
HOME LIFE HEALTHCARE, CORP.
Active
Other names
Home Life Healthcare,Corp.
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ MAHTANI (HEALTHCARE ADMINISTRATOR)
(847) 143-1611
Entity
Organization
Contact information
Practice address
1020 W GOLF RD, HOFFMAN ESTATES, IL 60169-1340
(847) 413-1611
(847) 908-9011
Mailing address
1020 W GOLF RD, HOFFMAN ESTATES, IL 60169-1340
(847) 413-1611
(847) 908-9011
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010985
IL
251F00000X
Home Infusion Agency
1010985
IL
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
3000861
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012066
STATE OF ILLINOIS - HOME HEALTH
IL
01
—
3002017
STATE OF ILLINOIS - HOME SERVICE AGENCY
IL
01
—
4000692
STATE OF ILLINOIS - HOME NURSING AGENCY
IL
Enumeration date
03/18/2009
Last updated
09/21/2022
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