Provider Demographics
NPI:1972914372
Name:CANDLELIGHT HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:CANDLELIGHT HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZELINKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-557-5948
Mailing Address - Street 1:115 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:COAL CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60416-1532
Mailing Address - Country:US
Mailing Address - Phone:815-557-5948
Mailing Address - Fax:
Practice Address - Street 1:115 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:COAL CITY
Practice Address - State:IL
Practice Address - Zip Code:60416-1532
Practice Address - Country:US
Practice Address - Phone:815-557-5948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health