Organization Active NPI

Abbey Homehealth Services, Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1083742225
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010694 Issued in IL
Legal business name
ABBEY HOMEHEALTH SERVICES, INC.
Practice address
4554 N Broadway St Ste 242
Chicago, IL 60640-6043
Phone
(773) 784-0044
Fax
(773) 784-0099
NPI assigned
Mar 1, 2007
Last updated
Dec 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rex N Ebo
Title
Administrator
Phone
(773) 784-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010694 IL Primary

Addresses

Primary practice location

4554 N Broadway St Ste 242
Chicago, IL 60640-6043

Mailing address

4554 N Broadway St Ste 242
Chicago, IL 60640-6043
Phone (773) 784-0044

Other identifiers 1

IdentifierTypeStateIssuer
1010694OtherILILL. HOME CARE LICENS2

National Provider Directory

National Provider Directory

Locations

4554 N Broadway St
Ste 242
Chicago, IL 60640
Phone (773) 784-0044

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1083742225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 N BROADWAY ST STE 242",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406043",
            "telephone_number": "773-784-0044",
            "fax_number": "773-784-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 N BROADWAY ST STE 242",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406043",
            "telephone_number": "773-784-0044",
            "fax_number": "773-784-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEY HOMEHEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "EBO",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-784-0044"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILL.  HOME CARE LICENS2",
            "identifier": "1010694",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.