Healthcare Provider Details

I. General information

NPI: 1376258541
Provider Name (Legal Business Name): GRACETOUCH HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2023
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19900 GOVERNORS DR STE 300S
OLYMPIA FIELDS IL
60461-1059
US

IV. Provider business mailing address

19900 GOVERNORS DR STE 300S
OLYMPIA FIELDS IL
60461-1059
US

V. Phone/Fax

Practice location:
  • Phone: 708-515-9686
  • Fax: 708-898-0595
Mailing address:
  • Phone: 708-515-9686
  • Fax: 708-898-0595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MUTIAT KUFORIJI
Title or Position: PRESIDENT
Credential:
Phone: 773-629-9754