TISHIEKA HOLLINGSWORTH NPI 1053910505

NPI Information

NPI: 1053910505
Provider Name: TISHIEKA HOLLINGSWORTH
Classification: Homemaker - 376J00000X
Entity Type: Individual
Address:
220 FOREST BLVD
PARK FOREST, IL
ZIP 60466
Phone: (708) 980-1018
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Tishieka Hollingsworth is a homemaker in Park Forest, IL. The provider is 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. Tishieka Hollingsworth NPI is 1053910505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

220 FOREST BLVD
PARK FOREST, IL
ZIP 60466-032
Phone: (708) 980-1018
Fax: (866) 630-3186

The enumeration date for this NPI number is 10/25/2020 and was last updated on 10/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3747A0650X	Technician	Attendant Care Provider	3001188	ILLINOIS	No
2	3747P1801X	Technician	Personal Care Attendant	3001188	ILLINOIS	No
3	374U00000X	Home Health Aide		3001188	ILLINOIS	No
4	376J00000X	Homemaker		3001188	ILLINOIS	Yes
5	253Z00000X	In Home Supportive Care		3001188	ILLINOIS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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