Healthcare Provider Details

I. General information

NPI: 1922874262
Provider Name (Legal Business Name): LIKE OUR OWN HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 E LAKE ST STE 301
BLOOMINGDALE IL
60108-1116
US

IV. Provider business mailing address

123 E LAKE ST STE 301
BLOOMINGDALE IL
60108-1116
US

V. Phone/Fax

Practice location:
  • Phone: 630-641-3950
  • Fax:
Mailing address:
  • Phone: 630-641-3950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHARESE WILSON-BOUIE
Title or Position: AGENCY MANAGER
Credential:
Phone: 630-641-3950