Provider Demographics
NPI:1114574324
Name:MY HOME NURSES LLC
Entity Type:Organization
Organization Name:MY HOME NURSES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:LESHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-566-8175
Mailing Address - Street 1:924 E HYDE PARK BLVD UNIT 3W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-2728
Mailing Address - Country:US
Mailing Address - Phone:708-801-8662
Mailing Address - Fax:
Practice Address - Street 1:924 E HYDE PARK BLVD UNIT 3W
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-2728
Practice Address - Country:US
Practice Address - Phone:708-801-8662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care