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General NPI Number Information
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NPI Number | 1568299774
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Entity Type | Organization
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Legal Business Name | ABITA HEALTHCARE INC.
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Dates
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Enumeration Date | 09/19/2024
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 2815 FORBS AVE STE 107
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-3731
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Country | US
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Telephone | 773-663-1602
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Fax |
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Provider Business Mailing Address
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Address Line | 2815 FORBS AVE STE 107
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-3731
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Country | US
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Telephone | 773-663-1602
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Fax |
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Authorized Official
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Title or Position | AGENCY ADMINISTRATOR/ MANAGER
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Name | MR. RAJ B MAHTANI
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Credential |
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Telephone | 773-663-1602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number |
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License Number State | NULL
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | NULL
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Taxonomy #6
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State | NULL
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Taxonomy #7
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Taxonomy Code | 2278H0200X
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Taxonomy Name | Home Health Certified Respiratory Therapist
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License Number |
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License Number State | NULL
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Taxonomy #8
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Taxonomy Code | 2279H0200X
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Taxonomy Name | Home Health Registered Respiratory Therapist
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License Number |
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License Number State | NULL
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