Healthcare Provider Details

I. General information

NPI: 1417067521
Provider Name (Legal Business Name): LIFECARE HOME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/04/2023
Certification Date: 08/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 DUNDEE RD STE 703
NORTHBROOK IL
60062-2442
US

IV. Provider business mailing address

3100 DUNDEE RD STE 703
NORTHBROOK IL
60062-2442
US

V. Phone/Fax

Practice location:
  • Phone: 847-205-4444
  • Fax: 847-205-4445
Mailing address:
  • Phone: 847-205-4444
  • Fax: 847-205-4445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1010562
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number3000484
License Number StateIL

VIII. Authorized Official

Name: MADIHA HASSAN
Title or Position: CEO/OWNER
Credential:
Phone: 847-205-4444