Healthcare Provider Details

I. General information

NPI: 1528297629
Provider Name (Legal Business Name): PATIENT PLUS HOMEHEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 RIDGE RD STE 3
LANSING IL
60438-2792
US

IV. Provider business mailing address

2521 RIDGE RD STE 3
LANSING IL
60438-2792
US

V. Phone/Fax

Practice location:
  • Phone: 708-418-5503
  • Fax: 708-418-0709
Mailing address:
  • Phone: 708-418-5503
  • Fax: 708-418-0709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1011010
License Number StateIL

VIII. Authorized Official

Name: DR. RAPHAEL OGOM
Title or Position: ADMINISTRATOR
Credential:
Phone: 708-418-5503