Healthcare Provider Details

I. General information

NPI: 1396620092
Provider Name (Legal Business Name): KAT GROUP HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11212 S WESTERN AVE STE 2
CHICAGO IL
60643-4116
US

IV. Provider business mailing address

11212 S WESTERN AVE STE 2
CHICAGO IL
60643-4116
US

V. Phone/Fax

Practice location:
  • Phone: 773-546-9091
  • Fax: 773-372-1549
Mailing address:
  • Phone: 773-546-9091
  • Fax: 773-372-1549

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 Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SAHEED TEPEDE
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 773-546-9091