MEDICARE: MAX CARE HOME HEALTH SERVICES INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency		IL
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1669642294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAX CARE HOME HEALTH SERVICES INC.

Provider Business Mailing Address
First Line	:	490 W LAKE ST UNIT 3
Second Line	:
City	:	ROSELLE
State	:	IL
Zip	:	60172-3551
Country	:	US
Telephone Number	:	630-833-2910
Fax Number	:	866-656-1698

Provider Business Practice Location Address
First Line	:	490 W LAKE ST UNIT 3
Second Line	:
City	:	ROSELLE
State	:	IL
Zip	:	60172-3551
Country	:	US
Telephone Number	:	630-833-2910
Fax Number	:	866-656-1698

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MS. NOOR FATIMA HUSAIN
Credential	:	M.D.
Telephone Number	:	630-833-2910

Provider Enumeration Date	:	03/11/2008
Last Update Date	:	01/30/2026

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