1245283829 NPI number — AAT HOME HEALTHCARE, INC

Table of content: (NPI 1245283829)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245283829 NPI number — AAT HOME HEALTHCARE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AAT HOME HEALTHCARE, 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:
PARAMOUNT HOME HEALTH CARE
Provider Other Organization Name Type Code:
3
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:
1245283829
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/04/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2209B LAKESIDE DR
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
BANNOCKBURN
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60015-1265
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-482-0123
Provider Business Mailing Address Fax Number:
847-482-0044

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2625 BUTTERFIELD RD
Provider Second Line Business Practice Location Address:
SUITE 200C
Provider Business Practice Location Address City Name:
OAK BROOK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60523-1265
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-571-6698
Provider Business Practice Location Address Fax Number:
630-571-1988
Provider Enumeration Date:
05/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SARDAR
Authorized Official First Name:
FARIS
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
859-219-3939

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  1010546 , 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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