Organization
MAKE A WISH HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANELL HAYES (CEO)
(207) 515-8850
Entity
Organization
Contact information
Practice address
111 N WABASH AVE STE 100, CHICAGO, IL 60602-1903
(207) 515-8850
(224) 252-9964
Mailing address
111 N WABASH AVE STE 100, CHICAGO, IL 60602-1903
(207) 515-8850
(224) 252-9964
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/13/2024
Last updated
07/07/2025
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