Healthcare Provider Details

I. General information

NPI: 1891727293
Provider Name (Legal Business Name): GLORY HOME HEALTH CARE MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 S RIVER RD STE 108
DES PLAINES IL
60018-4104
US

IV. Provider business mailing address

2700 S RIVER RD STE 108
DES PLAINES IL
60018-4104
US

V. Phone/Fax

Practice location:
  • Phone: 847-813-6555
  • Fax: 847-813-9682
Mailing address:
  • Phone: 847-813-6555
  • Fax: 847-813-9682

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: NATALIA KROKHMALYUK
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 847-568-1033