Provider Demographics
NPI:1578244877
Name:RESTORE HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:RESTORE HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ADEBUSOLA
Authorized Official - Middle Name:OLUWAKEMI
Authorized Official - Last Name:ADETUNJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-316-8733
Mailing Address - Street 1:6909 N RIDGE BLVD APT 1C
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-3562
Mailing Address - Country:US
Mailing Address - Phone:301-316-8733
Mailing Address - Fax:
Practice Address - Street 1:6909 N RIDGE BLVD APT 1C
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-3562
Practice Address - Country:US
Practice Address - Phone:301-316-8733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty