Provider Demographics
NPI:1356655401
Name:FOREST HOME HEALTHCARE INC
Entity type:Organization
Organization Name:FOREST HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WALE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLAJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-299-4387
Mailing Address - Street 1:318 FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-2005
Mailing Address - Country:US
Mailing Address - Phone:708-283-0769
Mailing Address - Fax:708-983-6120
Practice Address - Street 1:318 FOREST BLVD
Practice Address - Street 2:
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-2005
Practice Address - Country:US
Practice Address - Phone:708-283-0769
Practice Address - Fax:708-983-6120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-31
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011324251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health