Provider Demographics
NPI:1700113198
Name:HEALTHY HEALTH HOME HEALTH INC
Entity type:Organization
Organization Name:HEALTHY HEALTH HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMNISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GERTRUDE
Authorized Official - Middle Name:C
Authorized Official - Last Name:AJAERE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:847-568-1330
Mailing Address - Street 1:4747 LINCOLN MALL DR STE 260
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-3812
Mailing Address - Country:US
Mailing Address - Phone:708-283-0202
Mailing Address - Fax:708-283-0262
Practice Address - Street 1:4747 LINCOLN MALL DR STE 260
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-3812
Practice Address - Country:US
Practice Address - Phone:708-283-0202
Practice Address - Fax:708-283-0262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-05
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health