Home Life Healthcare, Corp.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

HOME LIFE HEALTHCARE, CORP.

Doing business as

Home Life Healthcare

Practice address

1020 W Golf Rd
Hoffman Estates, IL 60169-1340

Phone

(847) 413-1611

NPI assigned

Jul 6, 2016

Organization subpart

Yes

Parent organization

HOME LIFE HEALTHCARE, CORP.As reported in NPPES

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

Authorized official

Name

Raj Mahtani

Title

Administrator

Phone

(847) 143-1611

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Home Life Healthcare Doing business as

Tax ID family

Home Life Healthcare Corp2 organizations share this tax ID, including this one

Part of

Home Life Healthcare Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Home Life Healthcare, Corp.

  • Home Health Agency
  • Hoffman Estates, IL
  • NPI 1447491519
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Home Life Healthcare, Corp.

  • Home Health Agency
  • Hoffman Estates, IL
  • NPI 1447491519
  NPPES parent name

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1649622440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W GOLF RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691340",
            "telephone_number": "847-413-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W GOLF RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691340",
            "telephone_number": "847-413-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME LIFE HEALTHCARE, CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOME LIFE HEALTHCARE, CORP.",
        "enumeration_date": "2016-07-06",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "MAHTANI",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-143-1611"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012066",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4000692",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3002017",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Life Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Anne Holt, MS, OTR/L
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• Kara Marie Hoppen, RN, BSN
• Cecelia M Horan, PSYD

• Nursing Care Agency in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Nursing Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.