Abilicare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011193 Issued in IL

Legal business name

ABILICARE, LLC

Practice address

2418 W Springfield Ave
Champaign, IL 61821-2812

Phone

(217) 355-8855

Fax

(217) 355-8856

NPI assigned

Nov 13, 2009

Last updated

Nov 13, 2009By 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

Mr. Marciano F Mondala, PT

Title

President

Phone

(217) 355-8855

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1902133754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 W SPRINGFIELD AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618212812",
            "telephone_number": "217-355-8855",
            "fax_number": "217-355-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 W SPRINGFIELD AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618212812",
            "telephone_number": "217-355-8855",
            "fax_number": "217-355-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILICARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "MONDALA",
        "authorized_official_first_name": "MARCIANO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-355-8855",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azza Ali Abdelkarim
• Fida Abdelrasoul, LSW
• Toufic Abdo, MD
• Faisal Abdulameer, M.B.CH.B
• Cassie Ann Abendroth, APRN
• Abiola Abosede
• Jason Abrams
• Nadia Abuamouneh, LCPC
• Abusua Doula Services
• Accelerated Rehabilitation Centers (Athletico Physical Therapy)

• Home Health Agency in Champaign, IL
• Providers in Champaign, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.