Healthcare Provider Details

I. General information

NPI: 1952629404
Provider Name (Legal Business Name): SAFE LIFE HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W 22ND ST STE 202
LOMBARD IL
60148-4989
US

IV. Provider business mailing address

101 W 22ND ST STE 202
LOMBARD IL
60148-4989
US

V. Phone/Fax

Practice location:
  • Phone: 630-620-9064
  • Fax: 630-406-9342
Mailing address:
  • Phone: 630-620-9064
  • Fax: 630-406-9342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. FAISAL ISHAQUE
Title or Position: OWNER
Credential:
Phone: 630-620-9064