Provider Demographics
NPI:1669228862
Name:ABHC HOMECARE AGENCY
Entity type:Organization
Organization Name:ABHC HOMECARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SENIOR SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CASSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:AAS, BS, HOMECARE
Authorized Official - Phone:708-314-0350
Mailing Address - Street 1:935 MAPLE AVE APT 313
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-2099
Mailing Address - Country:US
Mailing Address - Phone:708-314-0350
Mailing Address - Fax:708-365-6937
Practice Address - Street 1:935 MAPLE AVE APT 313
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-2099
Practice Address - Country:US
Practice Address - Phone:708-314-0350
Practice Address - Fax:708-365-6937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty