Organization
TBF HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKALA B FOMOND REGISTERED NURSE (OWNER)
(224) 420-6894
Entity
Organization
Contact information
Practice address
9150 CRAWFORD AVE # L1, SKOKIE, IL 60076-1700
(224) 548-0927
(847) 556-6544
Mailing address
9150 CRAWFORD AVE # L1, SKOKIE, IL 60076-1700
(224) 548-0927
(847) 556-6544
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
01/09/2026
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