Healthcare Provider Details
I. General information
NPI: 1346905601
Provider Name (Legal Business Name): HOMECARE SOLVED CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/02/2021
Last Update Date: 11/02/2021
Certification Date: 10/31/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8953 S OAKLEY AVE
CHICAGO IL
60643-6429
US
IV. Provider business mailing address
8953 S OAKLEY AVE
CHICAGO IL
60643-6429
US
V. Phone/Fax
- Phone: 708-892-1600
- Fax:
- Phone: 708-892-1600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
IFEFIKAYO
OYELAMI
Title or Position: ADMINISTRATOR
Credential: DPT
Phone: 773-870-9706