MEDICARE: AGENTS OF HOPE TRAINING& INFORMATION CENTER

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

General Provider Information

NPI Number	:	1518749118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGENTS OF HOPE TRAINING& INFORMATION CENTER

Provider Business Mailing Address
First Line	:	2046 W DEVON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-2241
Country	:	US
Telephone Number	:	773-739-9079
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 N HIAWATHA AVE FL 5
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-4309
Country	:	US
Telephone Number	:	773-739-9079
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	HODAN A AHMED
Credential	:
Telephone Number	:	773-739-9079

Provider Enumeration Date	:	10/18/2023
Last Update Date	:	10/18/2023

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