Provider Demographics
NPI:1518291327
Name:AMERICAN NATIONAL HOME HEALTHCARE, INC
Entity Type:Organization
Organization Name:AMERICAN NATIONAL HOME HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AURORA
Authorized Official - Middle Name:MARQUEZ
Authorized Official - Last Name:DELEON
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:630-293-9670
Mailing Address - Street 1:175 W. WASHINGTON ST.
Mailing Address - Street 2:SUITE 2R
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185
Mailing Address - Country:US
Mailing Address - Phone:630-293-9670
Mailing Address - Fax:630-206-1002
Practice Address - Street 1:175 W WASHINGTON ST
Practice Address - Street 2:SUITE 2R
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-6700
Practice Address - Country:US
Practice Address - Phone:630-293-9670
Practice Address - Fax:630-206-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-25
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010689251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health