Provider Demographics
NPI:1962638379
Name:ABC HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:ABC HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN
Authorized Official - Phone:708-499-7030
Mailing Address - Street 1:3830 W 95TH ST
Mailing Address - Street 2:SUITE # 3
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-2004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:708-907-5742
Practice Address - Street 1:3830 W 95TH ST
Practice Address - Street 2:SUITE # 3
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2004
Practice Address - Country:US
Practice Address - Phone:708-499-7030
Practice Address - Fax:708-907-5742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health