Healthcare Provider Details

I. General information

NPI: 1659236701
Provider Name (Legal Business Name): GIVING HOME HEALTH CARE-ILLINOIS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 E 5TH ST STE 4
METROPOLIS IL
62960-2184
US

IV. Provider business mailing address

835 W 6TH ST STE 1450
AUSTIN TX
78703-5421
US

V. Phone/Fax

Practice location:
  • Phone: 737-637-2990
  • Fax:
Mailing address:
  • Phone: 737-637-2990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN M HANSON
Title or Position: COO/GC
Credential:
Phone: 512-619-2922