Provider Demographics
NPI:1619684230
Name:HOME HEALTH NEAR ME LLC
Entity Type:Organization
Organization Name:HOME HEALTH NEAR ME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-313-9786
Mailing Address - Street 1:3 STONEGATE LN
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-1685
Mailing Address - Country:US
Mailing Address - Phone:630-313-9786
Mailing Address - Fax:
Practice Address - Street 1:200 W HIGGINS RD STE 321
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60195-3734
Practice Address - Country:US
Practice Address - Phone:224-829-0434
Practice Address - Fax:224-229-0957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health