Healthcare Provider Details

I. General information

NPI: 1114464088
Provider Name (Legal Business Name): TREASURE HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2017
Last Update Date: 08/11/2021
Certification Date: 08/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 S EAST AVE NONE
AURORA IL
60505-3603
US

IV. Provider business mailing address

267 SPRINGBROOK TRL S
OSWEGO IL
60543-4006
US

V. Phone/Fax

Practice location:
  • Phone: 331-454-1791
  • Fax:
Mailing address:
  • Phone: 331-454-1791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: OLUGBENGA AJIBOYE
Title or Position: AGENCY MANAGER
Credential:
Phone: 331-454-1791