Healthcare Provider Details

I. General information

NPI: 1083550941
Provider Name (Legal Business Name): CHELLES CARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22130 MILLARD AVE
RICHTON PARK IL
60471-1422
US

IV. Provider business mailing address

22130 MILLARD AVE
RICHTON PARK IL
60471-1422
US

V. Phone/Fax

Practice location:
  • Phone: 708-965-4034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY HARDY
Title or Position: CEO
Credential:
Phone: 773-556-2554