=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184606121
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALLBEST HOME HEALTH CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/16/2005
-----------------------------------------------------
Last Update Date | 11/07/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 475 W 55TH ST SUITE 211
-----------------------------------------------------
City | COUNTRYSIDE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60525-3564
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-848-8058
-----------------------------------------------------
Fax | 708-848-8727
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 475 W 55TH ST SUITE 211
-----------------------------------------------------
City | COUNTRYSIDE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60525-3564
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-848-8058
-----------------------------------------------------
Fax | 708-848-8727
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MISS MARIA LOURDES MENDIOLA RAMIREZ
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 708-848-8058
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 1650976
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------