1114294253 NPI number — ABILITY HOME HEALTH CARE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114294253 NPI number — ABILITY HOME HEALTH CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABILITY HOME HEALTH CARE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114294253
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/17/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20635 ABBEY WOODS CT N
Provider Second Line Business Mailing Address:
303
Provider Business Mailing Address City Name:
FRANKFORT
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60423-3181
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
815-277-2725
Provider Business Mailing Address Fax Number:
815-277-2726

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20635 ABBEY WOODS CT N
Provider Second Line Business Practice Location Address:
303
Provider Business Practice Location Address City Name:
FRANKFORT
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60423-3181
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-277-2725
Provider Business Practice Location Address Fax Number:
815-277-2726
Provider Enumeration Date:
11/17/2011

Additional Information

Authorized Official

Authorized Official Last Name:
OHIKU
Authorized Official First Name:
UCHECHI
Authorized Official Middle Name:
Authorized Official Title or Position:
RN SUPERVISOR
Authorized Official Telephone Number:
815-302-8469

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  101176 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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