Provider Demographics
NPI:1972394393
Name:MOMMY & ME HEALTH TEAM
Entity type:Organization
Organization Name:MOMMY & ME HEALTH TEAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LENITA
Authorized Official - Middle Name:DESHOUN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:630-460-8213
Mailing Address - Street 1:21315 TOWER AVE
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2453
Mailing Address - Country:US
Mailing Address - Phone:630-460-8213
Mailing Address - Fax:
Practice Address - Street 1:21315 TOWER AVE
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2453
Practice Address - Country:US
Practice Address - Phone:630-460-8213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty