Healthcare Provider Details

I. General information

NPI: 1821750282
Provider Name (Legal Business Name): GLOBAL HERITAGE HOME HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2021
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5875 N LINCOLN AVE STE 226
CHICAGO IL
60659-4668
US

IV. Provider business mailing address

5875 N LINCOLN AVE STE 226
CHICAGO IL
60659-4668
US

V. Phone/Fax

Practice location:
  • Phone: 312-483-5171
  • Fax:
Mailing address:
  • Phone: 312-483-5171
  • Fax: 872-225-0879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: WILSON A. OGBEIDE
Title or Position: ADMINISTRATOR
Credential:
Phone: 312-483-5171