Provider Demographics
NPI:1245283829
Name:AAT HOME HEALTHCARE, INC
Entity type:Organization
Organization Name:AAT HOME HEALTHCARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SARDAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-219-3939
Mailing Address - Street 1:2209B LAKESIDE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:BANNOCKBURN
Mailing Address - State:IL
Mailing Address - Zip Code:60015-1265
Mailing Address - Country:US
Mailing Address - Phone:847-482-0123
Mailing Address - Fax:847-482-0044
Practice Address - Street 1:2625 BUTTERFIELD RD
Practice Address - Street 2:SUITE 200C
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1265
Practice Address - Country:US
Practice Address - Phone:630-571-6698
Practice Address - Fax:630-571-1988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010546251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147935Medicare Oscar/Certification