Provider Demographics
NPI:1043482235
Name:ACCESS HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:ACCESS HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BONIFACE
Authorized Official - Middle Name:UTEMEBOR
Authorized Official - Last Name:UJIAGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-388-1971
Mailing Address - Street 1:4726 W. 147TH. SREET
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:IL
Mailing Address - Zip Code:60445-2527
Mailing Address - Country:US
Mailing Address - Phone:708-388-1971
Mailing Address - Fax:708-388-2048
Practice Address - Street 1:4726 WEST 147TH. SREET
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:IL
Practice Address - Zip Code:60445-2527
Practice Address - Country:US
Practice Address - Phone:708-388-1971
Practice Address - Fax:708-388-2048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health