Individual provider · Type 1 NPI
Tishieka Hollingsworth
Homemaker · Park Forest, IL
NPI number
1053910505
Active
Practice location
220 Forest Blvd
Park Forest, IL 60466-2032
Fax (866) 630-3186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 3001188 (IL) |
| Attendant Care Provider | 3747A0650X | 3001188 (IL) |
| Personal Care Attendant | 3747P1801X | 3001188 (IL) |
| Home Health Aide | 374U00000X | 3001188 (IL) |
| Homemaker Primary | 376J00000X | 3001188 (IL) |
Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
3 other providers at this address
- Reliable Healthcare Service LLCLicensed Practical Nurse Park Forest Blvd, IL NPI 1366468324
- Rosie Mae Home Care, LLCHomemaker Park Forest, IL NPI 1235524695
- Rosie Mae Home Care, Llc-Supportive LivingIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Park Forest, IL NPI 1386517456
About NPI 1053910505
Tishieka Hollingsworth's National Provider Identifier is 1053910505, issued on Oct 25, 2020. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Park Forest, IL. The record was last updated on Oct 25, 2020.