Healthcare Provider Details

I. General information

NPI: 1245620202
Provider Name (Legal Business Name): LOVING GRACE HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2015
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 WEDGEPORT CIR
ROMEOVILLE IL
60446-3756
US

IV. Provider business mailing address

182 WEDGEPORT CIR
ROMEOVILLE IL
60446-3756
US

V. Phone/Fax

Practice location:
  • Phone: 773-852-0097
  • Fax:
Mailing address:
  • Phone: 773-852-0097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ADRIENNE BROWN
Title or Position: OWNER
Credential:
Phone: 773-852-0097