Healthcare Provider Details

I. General information

NPI: 1770491722
Provider Name (Legal Business Name): HEARTIVA HOME HEALTH CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14320 CAPITAL DR
PLAINFIELD IL
60544-4412
US

IV. Provider business mailing address

14320 CAPITAL DR
PLAINFIELD IL
60544-4412
US

V. Phone/Fax

Practice location:
  • Phone: 331-215-9870
  • Fax:
Mailing address:
  • Phone: 331-215-9870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NNEKA ROSELINE JONES
Title or Position: ADMINISTRATOR / DON
Credential: RN
Phone: 331-215-9870