Provider Demographics
NPI:1558309948
Name:ALL AMERICAN HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:ALL AMERICAN HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:CHUKWUDI
Authorized Official - Last Name:UJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-430-1904
Mailing Address - Street 1:9944 S ROBERTS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-1555
Mailing Address - Country:US
Mailing Address - Phone:708-430-1904
Mailing Address - Fax:708-430-1905
Practice Address - Street 1:6815 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-7000
Practice Address - Country:US
Practice Address - Phone:708-430-1904
Practice Address - Fax:708-430-1905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010228251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL10102228Medicaid