Healthcare Provider Details

I. General information

NPI: 1346842812
Provider Name (Legal Business Name): AMERIHEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2020
Last Update Date: 11/10/2020
Certification Date: 11/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16715 ELLIS AVE
SOUTH HOLLAND IL
60473-3127
US

IV. Provider business mailing address

16715 ELLIS AVE
SOUTH HOLLAND IL
60473-3127
US

V. Phone/Fax

Practice location:
  • Phone: 708-566-4877
  • Fax: 708-668-0828
Mailing address:
  • Phone: 708-566-4877
  • Fax: 708-668-0828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: OMOBOLANLE AKINSANYA
Title or Position: AGENCY ADMINISTRATOR
Credential:
Phone: 708-566-4877