Healthcare Provider Details

I. General information

NPI: 1821864356
Provider Name (Legal Business Name): ABLE HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4137 SAUK TRL STE 170
RICHTON PARK IL
60471-1253
US

IV. Provider business mailing address

4137 SAUK TRL STE 170
RICHTON PARK IL
60471-1253
US

V. Phone/Fax

Practice location:
  • Phone: 708-392-6776
  • Fax: 708-240-5768
Mailing address:
  • Phone: 708-392-6776
  • Fax: 708-240-5768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. PATRICIA JOHNSON
Title or Position: CEO
Credential:
Phone: 708-898-8683