Healthcare Provider Details

I. General information

NPI: 1184938151
Provider Name (Legal Business Name): DISTINCT HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2010
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1328 MAIN ST
CRETE IL
60417-2131
US

IV. Provider business mailing address

1328 MAIN ST STE 150
CRETE IL
60417-2131
US

V. Phone/Fax

Practice location:
  • Phone: 708-564-4946
  • Fax:
Mailing address:
  • Phone: 708-564-4946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberIL 1011271
License Number StateIL
# 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

VIII. Authorized Official

Name: VANESSA ADRANEDA
Title or Position: PRESIDENT
Credential:
Phone: 708-564-4946