Healthcare Provider Details

I. General information

NPI: 1245920024
Provider Name (Legal Business Name): CITADEL OF HOPE HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 PINE TREE CT
LAKE VILLA IL
60046-8648
US

IV. Provider business mailing address

1170 PINE TREE CT
LAKE VILLA IL
60046-8648
US

V. Phone/Fax

Practice location:
  • Phone: 773-986-1546
  • Fax:
Mailing address:
  • Phone: 773-986-1546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS LORETTA C ARMSTRONG
Title or Position: ADMINISTRATOR
Credential:
Phone: 773-986-1546