Provider Demographics
NPI:1821508276
Name:ABA HOME HEALTH INC
Entity Type:Organization
Organization Name:ABA HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE
Authorized Official - Prefix:
Authorized Official - First Name:ULJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-827-1117
Mailing Address - Street 1:1060 N FARNSWORTH AVE APT 1113
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-2096
Mailing Address - Country:US
Mailing Address - Phone:630-864-2770
Mailing Address - Fax:
Practice Address - Street 1:1060 N FARNSWORTH AVE APT 1113
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-2096
Practice Address - Country:US
Practice Address - Phone:630-864-2770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001490253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care