Provider Demographics
NPI:1104559335
Name:TREASURE HOME CARE
Entity type:Organization
Organization Name:TREASURE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLUGBENGA
Authorized Official - Middle Name:
Authorized Official - Last Name:AJIBOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-566-9093
Mailing Address - Street 1:15 S EAST AVE
Mailing Address - Street 2:NONE
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-3603
Mailing Address - Country:US
Mailing Address - Phone:630-566-9093
Mailing Address - Fax:630-485-6961
Practice Address - Street 1:15 S EAST AVE
Practice Address - Street 2:NONE
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-3603
Practice Address - Country:US
Practice Address - Phone:630-566-9093
Practice Address - Fax:630-485-6961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty