Provider Demographics
NPI:1265776769
Name:HEALTHY HOME ADVANTAGES, INC.
Entity type:Organization
Organization Name:HEALTHY HOME ADVANTAGES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NAAMAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:MOORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-805-4557
Mailing Address - Street 1:217 SPARROW LN
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-4564
Mailing Address - Country:US
Mailing Address - Phone:877-805-4557
Mailing Address - Fax:630-378-4331
Practice Address - Street 1:217 SPARROW LN
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-4564
Practice Address - Country:US
Practice Address - Phone:877-805-4557
Practice Address - Fax:630-378-4331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-21
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000908253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care