Healthcare Provider Details

I. General information

NPI: 1619272077
Provider Name (Legal Business Name): TRUELIFE HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2011
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N SACRAMENTO BLVD STE 315
CHICAGO IL
60612-1046
US

IV. Provider business mailing address

700 N SACRAMENTO BLVD STE 315
CHICAGO IL
60612-1046
US

V. Phone/Fax

Practice location:
  • Phone: 708-219-8713
  • Fax: 312-275-7811
Mailing address:
  • Phone: 708-219-8713
  • Fax: 312-275-7811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RICHIE LEAH TOLENTINO
Title or Position: PRESIDENT/ADMINISTRATOR
Credential:
Phone: 708-219-8713