Provider Demographics
NPI:1932782364
Name:NIKLIFE HOME CARE INC
Entity Type:Organization
Organization Name:NIKLIFE HOME CARE INC
Other - Org Name:NIKLIFE HOME CARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARINHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-224-1001
Mailing Address - Street 1:636 S RIVER RD STE 110
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-4624
Mailing Address - Country:US
Mailing Address - Phone:312-224-1001
Mailing Address - Fax:312-224-1002
Practice Address - Street 1:363 S. RIVER RD
Practice Address - Street 2:SUITE 110
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016
Practice Address - Country:US
Practice Address - Phone:312-224-1001
Practice Address - Fax:312-224-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care