Healthcare Provider Details

I. General information

NPI: 1932782364
Provider Name (Legal Business Name): NIKLIFE HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 S RIVER RD STE 305
DES PLAINES IL
60016-4624
US

IV. Provider business mailing address

636 S RIVER RD STE 305
DES PLAINES IL
60016-4624
US

V. Phone/Fax

Practice location:
  • Phone: 312-224-1001
  • Fax: 312-224-1002
Mailing address:
  • Phone: 312-224-1001
  • Fax: 312-224-1002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. PATRICIA MARINHO
Title or Position: MANAGER
Credential:
Phone: 312-224-1001