=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942616529
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEST HOME HEALTH CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/03/2014
-----------------------------------------------------
Last Update Date | 07/03/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8142 LAWNDALE AVE
-----------------------------------------------------
City | SKOKIE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60076-3322
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-983-4349
-----------------------------------------------------
Fax | 847-983-4559
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8142 LAWNDALE AVE
-----------------------------------------------------
City | SKOKIE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60076-3322
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-983-4349
-----------------------------------------------------
Fax | 847-983-4559
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | ANWAR UL HAQ
-----------------------------------------------------
Credential | PT
-----------------------------------------------------
Telephone | 773-837-9917
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 10110157
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------