1245283829 NPI number — AAT HOME HEALTHCARE, 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 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:
Provider Other Organization Name Type Code:
6
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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