Healthcare Provider Details

I. General information

NPI: 1053588343
Provider Name (Legal Business Name): VIRGOS HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2008
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2155 STONINGTON AVE STE 105
HOFFMAN ESTATES IL
60169-2057
US

IV. Provider business mailing address

2155 STONINGTON AVE STE 105
HOFFMAN ESTATES IL
60169-2057
US

V. Phone/Fax

Practice location:
  • Phone: 847-965-8914
  • Fax: 847-965-8916
Mailing address:
  • Phone: 847-965-8914
  • Fax: 847-965-8916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1010754
License Number StateIL

VIII. Authorized Official

Name: BYJU SUKUMARAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 847-965-8914