Healthcare Provider Details

I. General information

NPI: 1104332733
Provider Name (Legal Business Name): MY HOME NURSES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2017
Last Update Date: 02/07/2026
Certification Date: 02/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 E HYDE PARK BLVD UNIT 3W
CHICAGO IL
60615-2728
US

IV. Provider business mailing address

924 E HYDE PARK BLVD UNIT 3W
CHICAGO IL
60615-2728
US

V. Phone/Fax

Practice location:
  • Phone: 214-407-3791
  • Fax:
Mailing address:
  • Phone: 708-801-8662
  • Fax: 866-223-1005

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FELIX LESHEY
Title or Position: OWNER
Credential:
Phone: 708-801-8662