Abhc Homecare Agency

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

ABHC HOMECARE AGENCY

Practice address

935 Maple Ave Apt 313
Homewood, IL 60430-2099

Phone

(708) 314-0350

Fax

(708) 365-6937

NPI assigned

Apr 29, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cassie Lewis, AAS, BS, HOMECARE

Title

Director of Senior Services

Phone

(708) 314-0350

Specialties & licenses 1

Addresses

Other names 1

• ANNIEBELLS HOME CARE AGENCY Former legal business name

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1669228862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 MAPLE AVE APT 313",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302099",
            "telephone_number": "708-314-0350",
            "fax_number": "708-365-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MAPLE AVE APT 313",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302099",
            "telephone_number": "708-314-0350",
            "fax_number": "708-365-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABHC HOMECARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_title_or_position": "DIRECTOR OF SENIOR SERVICES",
        "authorized_official_telephone_number": "708-314-0350",
        "authorized_official_credential": "AAS, BS, HOMECARE"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANNIEBELLS HOME CARE AGENCY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.