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NPI Code Detail

MEDICARE: MAX RESPITE HOME HEALTH SERVICES LLC

MEDICARE: MAX RESPITE HOME HEALTH SERVICES LLC
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 Agency

General Provider Information

NPI Number : 1912859737
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAX RESPITE HOME HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 181 ASBURY AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3801
Country : US
Telephone Number : 773-340-0068
Fax Number :
Provider Business Practice Location Address
First Line : 181 ASBURY AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3801
Country : US
Telephone Number : 773-340-0068
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : RISIKAT I AJAKAIYE
Credential :
Telephone Number : 312-730-6515
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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Directions to “MAX RESPITE HOME HEALTH SERVICES LLC ” Practice Location

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