Provider Demographics
NPI:1831860626
Name:SPRING HOME HEALTHCARE INC
Entity type:Organization
Organization Name:SPRING HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OMOLOLA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ASIELUE
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:773-654-1678
Mailing Address - Street 1:2622 W PETERSON AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4032
Mailing Address - Country:US
Mailing Address - Phone:773-654-1678
Mailing Address - Fax:
Practice Address - Street 1:2622 W PETERSON AVE STE 6
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-4032
Practice Address - Country:US
Practice Address - Phone:773-654-1678
Practice Address - Fax:773-943-6352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL24825485001Medicaid