MEDICARE: ABLISS HEALTHCARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	251E00000X	Home Health Agency
3	385H00000X	Respite Care
4	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1407618572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABLISS HEALTHCARE INC.

Provider Business Mailing Address
First Line	:	2744 W 111TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-1832
Country	:	US
Telephone Number	:	773-466-2669
Fax Number	:	773-446-2702

Provider Business Practice Location Address
First Line	:	2746 W 111TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-1832
Country	:	US
Telephone Number	:	773-466-2669
Fax Number	:	773-466-2702

Authorized Official
Title or Position	:	CEO
Name	:	CASHARI SYRIA NORWOOD
Credential	:
Telephone Number	:	773-466-2669

Provider Enumeration Date	:	01/25/2024
Last Update Date	:	08/15/2024

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