MEDICARE: MODERN MIDWEST HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1396605390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MODERN MIDWEST HOME CARE LLC

Provider Business Mailing Address
First Line	:	20635 ABBEY WOODS CT N STE 303
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-3191
Country	:	US
Telephone Number	:	630-296-9950
Fax Number	:	907-313-1400

Provider Business Practice Location Address
First Line	:	20635 ABBEY WOODS CT N STE 303
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-3191
Country	:	US
Telephone Number	:	630-296-9950
Fax Number	:	907-313-1400

Authorized Official
Title or Position	:	AGENCY MANAGER
Name	:	ALYSSA KEPPLER
Credential	:	CNA
Telephone Number	:	630-296-9950

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	11/13/2025

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