Provider Demographics
NPI:1578455648
Name:SACRED HEALTHCARE GROUP INC
Entity type:Organization
Organization Name:SACRED HEALTHCARE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OLAJIDE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ADEWALE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:773-317-1663
Mailing Address - Street 1:15475 S PARK AVE STE 104B
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-1378
Mailing Address - Country:US
Mailing Address - Phone:773-317-1663
Mailing Address - Fax:773-317-1663
Practice Address - Street 1:15475 S PARK AVE STE 104B
Practice Address - Street 2:
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-1378
Practice Address - Country:US
Practice Address - Phone:773-317-1663
Practice Address - Fax:708-331-4216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care