Organization
GOLDEN HEART HOME HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESS LOMIBAO RN, BSN (ADMINISTRATOR)
(847) 759-8970
Entity
Organization
Contact information
Practice address
10700 W HIGGINS RD, SUITE 340, ROSEMONT, IL 60018-3707
(847) 759-8970
(847) 759-8975
Mailing address
10700 W HIGGINS RD, SUITE 340, ROSEMONT, IL 60018-3707
(847) 759-8970
(847) 759-8975
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IL1010169
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001010169
—
IL
01
—
IL1010169
STATE LICENSE
IL
Enumeration date
05/01/2006
Last updated
09/29/2009
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