Provider Demographics
NPI:1649532979
Name:AGA CARE CONNECT HOME HEALTH AGENCY INC.
Entity type:Organization
Organization Name:AGA CARE CONNECT HOME HEALTH AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:UZOARU-ISEWEDE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-647-0034
Mailing Address - Street 1:21141 GOVERNORS HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-3801
Mailing Address - Country:US
Mailing Address - Phone:708-898-0502
Mailing Address - Fax:708-898-0503
Practice Address - Street 1:21141 GOVERNORS HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-3801
Practice Address - Country:US
Practice Address - Phone:708-898-0502
Practice Address - Fax:708-898-0503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health