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Tishieka Hollingsworth
Homemaker in Park Forest, Illinois
NPI 1053910505

Tishieka Hollingsworth is a Homemaker based in Park Forest, IL. Tishieka Hollingsworth practices in Park Forest, IL. The NPI Number for Tishieka Hollingsworth is 1053910505 and holds a License No. 3001188 (Illinois).

The current practice location address for Tishieka Hollingsworth is 220 Forest Blvd, Park Forest, IL and can be reached out via phone at 708-980-1018 and via fax at 866-630-3186.

Location: 220 Forest Blvd, Park Forest, IL, 60466-2032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053910505
Provider Name
Tishieka Hollingsworth
Credential
Provider Entity Type
Individual
Gender
Female
Address
220 Forest Blvd, Park Forest, IL, 60466-2032
Phone Number
708-980-1018
Fax Number
866-630-3186
Provider Enumeration Date
10/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
220 Forest Blvd
City
Park Forest
State
Illinois
Zip
60466-2032
Phone Number
708-980-1018
Fax Number
866-630-3186
person
Provider Business Mailing Address Details
Address
220 Forest Blvd
City
Park Forest
State
Illinois
Zip
60466-2032
Phone Number
708-980-1018
Fax Number
866-630-3186
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
3001188 (Illinois)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
3001188 (Illinois)
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
3001188 (Illinois)
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
person
Provider's Taxonomy Details 4
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
3001188 (Illinois)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
person
Provider's Taxonomy Details 5
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
3001188 (Illinois)
Definition
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.
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