Healthcare Provider Details

I. General information

NPI: 1861069403
Provider Name (Legal Business Name): COMMUNITY HOMEMAKER SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2021
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17843 TORRENCE AVE APT 2R
LANSING IL
60438-0198
US

IV. Provider business mailing address

17843 TORRENCE AVE APT 2R
LANSING IL
60438-0198
US

V. Phone/Fax

Practice location:
  • Phone: 312-608-4951
  • Fax:
Mailing address:
  • Phone: 312-608-4951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. ADEOLU ADEOYE
Title or Position: ADMINISTRATOR
Credential:
Phone: 312-608-4951