Healthcare Provider Details

I. General information

NPI: 1356130926
Provider Name (Legal Business Name): MELIRE HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22307 CENTRAL PARK AVE
PARK FOREST IL
60466-1967
US

IV. Provider business mailing address

22307 CENTRAL PARK AVE
PARK FOREST IL
60466-1967
US

V. Phone/Fax

Practice location:
  • Phone: 312-823-8485
  • Fax:
Mailing address:
  • Phone: 312-823-8485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MELROSE OGUNLEYE
Title or Position: AGENCY MANAGER
Credential: RN
Phone: 312-823-8485