Organization
HOME LIFE HEALTHCARE, CORP.
Active
Parent organization
HOME LIFE HEALTHCARE, CORP.
Other names
Home Life Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOME LIFE HEALTHCARE, CORP.
Authorized official
RAJ MAHTANI (ADMINISTRATOR)
(847) 143-1611
Entity
Organization
Contact information
Practice address
1020 W GOLF RD, HOFFMAN ESTATES, IL 60169-1340
(847) 413-1611
Mailing address
1020 W GOLF RD, HOFFMAN ESTATES, IL 60169-1340
(847) 413-1611
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
3000861
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012066
—
IL
05
—
3002017
—
IL
05
—
4000692
—
IL
Enumeration date
07/06/2016
Last updated
09/21/2022
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