=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508662560
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VINOVA HOME HEALTH SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/20/2025
-----------------------------------------------------
Last Update Date | 11/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1342 W GRENSHAW ST APT 1
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60607-0025
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 815-690-7504
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1342 W GRENSHAW ST APT 1
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60607-0025
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 815-690-7504
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | HALA I KHALIL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 708-789-3387
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------