Andre Heavenly Homecare Agency LLC
Homemaker in Olympia Fields, IL. Organization (NPI-2).
NPI number1679205819
StatusActive
Last updated in NPPESJun 9, 2026
Details
- NPI
- 1679205819
- Entity type
- Organization (NPI-2)
- Legal business name
- Andre Heavenly Homecare Agency LLC
- Organization subpart
- No
- Enumeration date
- Jun 27, 2022
- Certification date
- Jun 9, 2026
- Last updated
- Jun 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | |
| 251E00000X | Home Health | – | – |
Practice location
20200 Governors Dr Fl 3Olympia Fields, IL 60461-1032
Phone 708-856-5317 · Fax 708-312-5399
Mailing address
20200 Governors Dr Fl 3Olympia Fields, IL 60461-1032
Phone 708-856-5317 · Fax 708-312-5399
Authorized official
Brittany Reynolds
Ceo/Manager
7088565317
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