Healthcare Provider Details
I. General information
NPI: 1285570879
Provider Name (Legal Business Name): DAILY LIVING HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5640 W 63RD ST
CHICAGO IL
60638-5943
US
IV. Provider business mailing address
14409 IRVING AVE
ORLAND PARK IL
60462-2441
US
V. Phone/Fax
- Phone: 708-830-0989
- Fax:
- Phone: 708-830-0989
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GABRIEL
RODRIGUEZ
Title or Position: MANAGER
Credential:
Phone: 708-830-0989