MEDICARE: ALLBEST HOME HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1650976	IL

General Provider Information

NPI Number	:	1184606121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLBEST HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	475 W 55TH ST
Second Line	:	SUITE 211
City	:	COUNTRYSIDE
State	:	IL
Zip	:	60525-3564
Country	:	US
Telephone Number	:	708-848-8058
Fax Number	:	708-848-8727

Provider Business Practice Location Address
First Line	:	475 W 55TH ST
Second Line	:	SUITE 211
City	:	COUNTRYSIDE
State	:	IL
Zip	:	60525-3564
Country	:	US
Telephone Number	:	708-848-8058
Fax Number	:	708-848-8727

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MISS MARIA LOURDES MENDIOLA RAMIREZ
Credential	:	RN
Telephone Number	:	708-848-8058

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	11/07/2013

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