Organization
HOMELAND HOMEHEALTH PROVIDER, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WARDIA KANDO (PRESIDENT)
(847) 493-9328
Entity
Organization
Contact information
Practice address
8031 N MILWAUKEE AVE FL 2, NILES, IL 60714-2827
(847) 410-2851
(847) 410-2720
Mailing address
8031 N MILWAUKEE AVE STE 200, NILES, IL 60714-2827
(847) 983-4364
(847) 983-4157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1011931
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011931
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
09/24/2008
Last updated
11/29/2017
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