Provider Demographics
NPI:1619059813
Name:ABBA HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:ABBA HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:NAJAMUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-679-7200
Mailing Address - Street 1:6677 N LINCOLN AVE
Mailing Address - Street 2:SUITE 430
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-3619
Mailing Address - Country:US
Mailing Address - Phone:847-679-7200
Mailing Address - Fax:847-679-7201
Practice Address - Street 1:6677 N LINCOLN AVE
Practice Address - Street 2:SUITE 430
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-3619
Practice Address - Country:US
Practice Address - Phone:847-679-7200
Practice Address - Fax:847-679-7201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010426251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1010426OtherIDPH LICENSE
IL147902Medicare PIN
IL147902Medicare Oscar/Certification