Provider Demographics
NPI:1609569581
Name:LEAD HOME HEALTHCARE INC.
Entity Type:Organization
Organization Name:LEAD HOME HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HAKEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:BADMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-691-0096
Mailing Address - Street 1:7257 N BELL AVE UNIT G
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-2631
Mailing Address - Country:US
Mailing Address - Phone:773-691-0096
Mailing Address - Fax:
Practice Address - Street 1:7257 N BELL AVE UNIT G
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-2631
Practice Address - Country:US
Practice Address - Phone:773-691-0096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care