Healthcare Provider Details

I. General information

NPI: 1295404523
Provider Name (Legal Business Name): HOME HELP FROM THE HEART LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 03/13/2023
Certification Date: 03/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7309 S HONORE ST
CHICAGO IL
60636-3702
US

IV. Provider business mailing address

7309 S HONORE ST
CHICAGO IL
60636-3702
US

V. Phone/Fax

Practice location:
  • Phone: 773-349-1792
  • Fax:
Mailing address:
  • Phone: 708-646-8903
  • 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 Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: LASHANDA GAITER
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 708-646-8903