Healthcare Provider Details

I. General information

NPI: 1730004367
Provider Name (Legal Business Name): BRIGHTHEART HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 N NORTHWEST HWY STE 114
PARK RIDGE IL
60068-1458
US

IV. Provider business mailing address

1550 N NORTHWEST HWY STE 114
PARK RIDGE IL
60068-1458
US

V. Phone/Fax

Practice location:
  • Phone: 773-709-4788
  • Fax: 773-709-4788
Mailing address:
  • Phone: 773-709-4788
  • Fax: 773-709-4788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. OLUWATOYIN ADEWUMI
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 773-709-4788