Healthcare Provider Details

I. General information

NPI: 1740036623
Provider Name (Legal Business Name): BAOBAB HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20550 S LAGRANGE RD STE 11
FRANKFORT IL
60423-1699
US

IV. Provider business mailing address

20550 S LAGRANGE RD STE 11
FRANKFORT IL
60423-1699
US

V. Phone/Fax

Practice location:
  • Phone: 708-262-8386
  • Fax: 464-222-3721
Mailing address:
  • Phone: 708-262-8386
  • Fax: 464-222-3721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. ABIEMWENSE SANDRA ABRAHAM
Title or Position: MANAGER
Credential: RN, APRN
Phone: 630-706-1127