Provider Demographics
NPI:1467120766
Name:SPRING HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:SPRING HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OMOLOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASIELUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-257-3086
Mailing Address - Street 1:8723 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-3103
Mailing Address - Country:US
Mailing Address - Phone:773-876-4837
Mailing Address - Fax:
Practice Address - Street 1:8723 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-3103
Practice Address - Country:US
Practice Address - Phone:773-876-4837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2023-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL300165Medicaid