Provider Demographics
NPI:1639305071
Name:VIP HOME HEALTH & HOSPICE, INC.
Entity type:Organization
Organization Name:VIP HOME HEALTH & HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WASE
Authorized Official - Middle Name:QAWI
Authorized Official - Last Name:ABDUL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:312-978-7555
Mailing Address - Street 1:17W703 BUTTERFIELD RD STE G
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4280
Mailing Address - Country:US
Mailing Address - Phone:630-410-8338
Mailing Address - Fax:630-312-8436
Practice Address - Street 1:17W703 BUTTERFIELD RD STE G
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4280
Practice Address - Country:US
Practice Address - Phone:630-410-8338
Practice Address - Fax:630-312-8436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2002657251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based