MEDICARE: SOJ HOME HEALTHCARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	163WH0200X	Home Health Registered Nurse
2	251J00000X	Nursing Care Agency
3	374U00000X	Home Health Aide
4	376J00000X	Homemaker

General Provider Information

NPI Number	:	1457226219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOJ HOME HEALTHCARE INC.

Provider Business Mailing Address
First Line	:	1417 W TOUHY AVE APT D
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-2692
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1417 W TOUHY AVE APT D
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-2692
Country	:	US
Telephone Number	:	773-668-3710
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. EDNA KING
Credential	:
Telephone Number	:	773-668-3710

Provider Enumeration Date	:	10/09/2025
Last Update Date	:	10/09/2025

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Directions to “SOJ HOME HEALTHCARE INC. ” Practice Location

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