Home for Life Advantage, Inc.

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

HOME FOR LIFE ADVANTAGE, INC.

Practice address

769 N Heartland Dr
Unit B
Sugar Grove, IL 60554-9346

Phone

(630) 466-2611

Fax

(630) 466-4213

NPI assigned

Sep 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cindy Marie Shaw

Title

Owner

Phone

(630) 466-2611

Specialties & licenses 2

Addresses

Other names 1

• Home For Life Modifications, Inc. Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1255681995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 N HEARTLAND DR",
            "address_2": "UNIT B",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549346",
            "telephone_number": "630-466-2611",
            "fax_number": "630-466-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 N HEARTLAND DR",
            "address_2": "UNIT B",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549346",
            "telephone_number": "630-466-2611",
            "fax_number": "630-466-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME FOR LIFE ADVANTAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-466-2611"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home For Life Modifications, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy L Heinle, RDH
• Hem Aggarwal, MD SC
• Nancy Herkes, LCSW
• Kelly Winkelbauer Hesselbaum, LCSW
• Kimberly L Hicks, PT, DPT
• Deanna L. Hoole, APN-CNP
• Dawn Hyatt, PHARMD
• Jamble, LLC
• Karla Rae Jebens-Mills, DVM
• Brittany Ann Johnsen, RD

• Home Modifications Contractor in Sugar Grove, IL
• Providers in Sugar Grove, IL by specialty
• Home Modifications Contractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.