Organization
PROFESSIONAL HOME CARE ADVANTAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOLARINWA P ADEOYE MA, BA, BSN, RN, MSN (ADMINISTRATOR)
(708) 891-2013
Entity
Organization
Contact information
Practice address
2521 RIDGE RD STE 1, LANSING, IL 60438-2792
(708) 858-2939
(708) 889-6317
Mailing address
2521 RIDGE RD STE 1, LANSING, IL 60438-2792
(708) 858-2939
(708) 889-6317
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1686069
IL
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147660
—
IL
05
—
5627273
—
IL
Enumeration date
05/08/2006
Last updated
04/02/2025
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