Provider Demographics
NPI:1265630362
Name:SACRED HEART HOME HEALTH INC
Entity Type:Organization
Organization Name:SACRED HEART HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSAINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-500-3782
Mailing Address - Street 1:2720 S RIVER RD STE 144
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4106
Mailing Address - Country:US
Mailing Address - Phone:224-500-3782
Mailing Address - Fax:224-500-3783
Practice Address - Street 1:2720 S RIVER RD STE 144
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4106
Practice Address - Country:US
Practice Address - Phone:224-500-3782
Practice Address - Fax:224-500-3783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011861251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health