Abundant Home Health Services, Inc
Organization Active NPI Home Health Agency · Bourbonnais, IL
NPI 1700196995 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1700196995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ABUNDANT HOME HEALTH SERVICES, INC
- Practice address
- 19 Heritage Dr Ste 102
Bourbonnais, IL 60914-1369 - Phone
- (815) 932-1600
- Fax
- (815) 932-1602
- NPI assigned
- Oct 20, 2010
- Organization subpart
- No
Authorized official
- Name
- Michael Udonkang
- Title
- Administrator
- Phone
- (815) 932-1600
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | IL | Yes | |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
19 Heritage Dr Ste 102
Bourbonnais, IL 60914-1369
Mailing address
19 Heritage Plaza Suite102
Bourbonnais, IL 60914-1369
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011754 | Other | IL | ILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE FOR AGENCY |
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All providers in Bourbonnais, IL · Home Health Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.