Provider Demographics
NPI:1982845152
Name:HEART AT HOME HEALTH CARE OF THE MIDWEST LLC
Entity Type:Organization
Organization Name:HEART AT HOME HEALTH CARE OF THE MIDWEST LLC
Other - Org Name:HEART AT HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHUKRIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SATTI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-251-8709
Mailing Address - Street 1:3365 RIDGE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-3186
Mailing Address - Country:US
Mailing Address - Phone:708-251-8709
Mailing Address - Fax:708-251-8776
Practice Address - Street 1:3365 RIDGE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-3186
Practice Address - Country:US
Practice Address - Phone:708-251-8709
Practice Address - Fax:708-251-8776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health