=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902744089
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OAK HOME HEALTHCARE INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2026
-----------------------------------------------------
Last Update Date | 03/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6720 N CENTRAL AVE APT 2B
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60646-3001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 872-273-2144
-----------------------------------------------------
Fax | 872-273-2149
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6720 N CENTRAL AVE APT 2B
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60646-3001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 872-273-2144
-----------------------------------------------------
Fax | 872-273-2149
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | OLAITAN EZOBI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 872-273-2144
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 376J00000X
-----------------------------------------------------
Taxonomy Name | Homemaker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------