1003126228 NPI number — AMERICAN PROFESSIONAL HOME HEALTH, 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 1003126228 NPI number — AMERICAN PROFESSIONAL HOME HEALTH, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN PROFESSIONAL HOME HEALTH, 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:
1003126228
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4556 OAKTON ST
Provider Second Line Business Mailing Address:
SUITE 203
Provider Business Mailing Address City Name:
SKOKIE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60076-3174
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-679-8200
Provider Business Mailing Address Fax Number:
847-679-8201

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4556 OAKTON ST
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
SKOKIE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60076-3174
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-679-8200
Provider Business Practice Location Address Fax Number:
847-679-8201
Provider Enumeration Date:
10/21/2010

Additional Information

Authorized Official

Authorized Official Last Name:
BARBA
Authorized Official First Name:
MARIA
Authorized Official Middle Name:
LOURDES
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
847-679-8200

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , 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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