Healthcare Provider Details

I. General information

NPI: 1235068008
Provider Name (Legal Business Name): HIGH QUALITY HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 BENSLEY AVE APT 9
CALUMET CITY IL
60409-1838
US

IV. Provider business mailing address

360 BENSLEY AVE APT 9
CALUMET CITY IL
60409-1838
US

V. Phone/Fax

Practice location:
  • Phone: 708-315-0948
  • Fax:
Mailing address:
  • Phone: 708-315-0948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MODINAT ADEWUSI
Title or Position: PRESIDENT
Credential:
Phone: 708-315-0948