Provider Demographics
NPI:1225372352
Name:MOST HEALTHCARE INC
Entity Type:Organization
Organization Name:MOST HEALTHCARE INC
Other - Org Name:MOST HEALTHCARE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUEYUNGBO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-297-6436
Mailing Address - Street 1:1401 KINROSS ST
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-4308
Mailing Address - Country:US
Mailing Address - Phone:708-297-6436
Mailing Address - Fax:708-365-6362
Practice Address - Street 1:1401 KINROSS ST
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-4308
Practice Address - Country:US
Practice Address - Phone:708-297-6436
Practice Address - Fax:708-365-6362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011577251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1011577Medicaid