Homestead Home Care Agency, L.L.C.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOMESTEAD HOME CARE AGENCY, L.L.C.

Practice address

3605 Woodhead Dr
Ste 105a Room#2
Northbrook,, IL 60062

Phone

(847) 715-9191

Fax

(847) 919-4764

NPI assigned

Sep 5, 2019

Organization subpart

No

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

Authorized official

Name

Hassan Nkulabi

Title

Administrator

Phone

(847) 715-9191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1972152601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 WOODHEAD DR",
            "address_2": "STE 105A ROOM#2",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621850",
            "telephone_number": "847-715-9191",
            "fax_number": "847-919-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 WOODHEAD DR",
            "address_2": "STE 105A ROOM#2",
            "city": "NORTHBROOK,",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "847-715-9191",
            "fax_number": "847-919-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD HOME CARE AGENCY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "NKULABI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-715-9191"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Northbrook,, IL
• Providers in Northbrook,, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.