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NPI Code Detail

MEDICARE: MAXIMUM HOME HEALTH CARE, INC.

MEDICARE: MAXIMUM HOME HEALTH CARE, INC.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency1010161IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1359331OTHERILJCAHO ACCREDITED

General Provider Information

NPI Number : 1548266380
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAXIMUM HOME HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 2959 W 95TH ST
Second Line :
City : EVERGREEN PARK
State : IL
Zip : 60805-2409
Country : US
Telephone Number : 708-952-1900
Fax Number : 708-952-9010
Provider Business Practice Location Address
First Line : 2959 W 95TH ST
Second Line :
City : EVERGREEN PARK
State : IL
Zip : 60805-2409
Country : US
Telephone Number : 708-952-1900
Fax Number : 708-952-9010
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. MUBARAK ALI MIRJAT
Credential : PT
Telephone Number : 708-906-2853
Provider Enumeration Date : 06/27/2005
Last Update Date : 08/22/2020

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Directions to “MAXIMUM HOME HEALTH CARE, INC. ” Practice Location

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