1588702211 NPI number — YOUR BEST HOME HEALTH CARE LLC

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 1588702211 NPI number — YOUR BEST HOME HEALTH CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YOUR BEST HOME HEALTH CARE LLC
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:
ANGEL CARE HOME HEALTH SOLUTIONS
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:
1588702211
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4836 MAIN ST
Provider Second Line Business Mailing Address:
SUITE 104
Provider Business Mailing Address City Name:
SKOKIE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60077-2569
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-675-8001
Provider Business Mailing Address Fax Number:
847-675-8002

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4836 MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
SKOKIE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60077-2569
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-675-8001
Provider Business Practice Location Address Fax Number:
847-675-8002
Provider Enumeration Date:
02/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PASIA
Authorized Official First Name:
JUANITO
Authorized Official Middle Name:
P
Authorized Official Title or Position:
VP & CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
847-675-8001

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  1010548 , 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)

  • Identifier: 1010548 . This is a "ILDPH LICENSE#" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".




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