Healthcare Provider Details

I. General information

NPI: 1760280945
Provider Name (Legal Business Name): IMADE HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16860 OAK PARK AVE STE 201A
TINLEY PARK IL
60477-2009
US

IV. Provider business mailing address

16860 OAK PARK AVE STE 201A
TINLEY PARK IL
60477-2009
US

V. Phone/Fax

Practice location:
  • Phone: 708-645-6998
  • Fax:
Mailing address:
  • Phone: 708-645-6998
  • Fax: 708-645-6998

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: GODWIN IMANLIHEN
Title or Position: REGISTERED NURSE
Credential:
Phone: 708-645-6998