Healthcare Provider Details

I. General information

NPI: 1184606121
Provider Name (Legal Business Name): ALLBEST HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 11/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 W 55TH ST SUITE 211
COUNTRYSIDE IL
60525-3564
US

IV. Provider business mailing address

475 W 55TH ST SUITE 211
COUNTRYSIDE IL
60525-3564
US

V. Phone/Fax

Practice location:
  • Phone: 708-848-8058
  • Fax: 708-848-8727
Mailing address:
  • Phone: 708-848-8058
  • Fax: 708-848-8727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1650976
License Number StateIL

VIII. Authorized Official

Name: MISS MARIA LOURDES MENDIOLA RAMIREZ
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 708-848-8058