Provider Demographics
NPI:1861569592
Name:ALL GENERATION HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:ALL GENERATION HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE VICTOR
Authorized Official - Middle Name:SAGARAL
Authorized Official - Last Name:SARTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:708-271-2784
Mailing Address - Street 1:11 S LA GRANGE RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-2460
Mailing Address - Country:US
Mailing Address - Phone:708-271-2784
Mailing Address - Fax:708-597-4389
Practice Address - Street 1:5550 115TH ST
Practice Address - Street 2:UNIT 101
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-7116
Practice Address - Country:US
Practice Address - Phone:708-597-4389
Practice Address - Fax:708-597-4389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health