Healthcare Provider Details

I. General information

NPI: 1427532498
Provider Name (Legal Business Name): AISHLING COMPANION HOME CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2018
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1328 MAIN ST
CRETE IL
60417-2131
US

IV. Provider business mailing address

13255 SOUTHWEST HWY STE 200
ORLAND PARK IL
60462-1362
US

V. Phone/Fax

Practice location:
  • Phone: 708-361-7845
  • Fax: 708-361-7843
Mailing address:
  • Phone: 708-361-7845
  • Fax: 708-361-7843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: AISHLING THERESE DALTON KELLY
Title or Position: CEO
Credential: CECM, CDP, CADDCT, C
Phone: 708-361-7845