Healthcare Provider Details

I. General information

NPI: 1902744089
Provider Name (Legal Business Name): OAK HOME HEALTHCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6720 N CENTRAL AVE APT 2B
CHICAGO IL
60646-3001
US

IV. Provider business mailing address

6720 N CENTRAL AVE APT 2B
CHICAGO IL
60646-3001
US

V. Phone/Fax

Practice location:
  • Phone: 872-273-2144
  • Fax: 872-273-2149
Mailing address:
  • Phone: 872-273-2144
  • Fax: 872-273-2149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: OLAITAN EZOBI
Title or Position: ADMINISTRATOR
Credential:
Phone: 872-273-2144