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Contact Information

ANGEL HOME HEALTH AGENCY SERVICE, CORP.
10001 W ROOSEVELT RD STE 308
WESTCHESTER, IL60154-2662
 Phone: 708-410-2007
 Fax: 708-410-2017
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for ANGEL HOME HEALTH AGENCY SERVICE, CORP.

NPI # 1265739163
LBN Legal business name ANGEL HOME HEALTH AGENCY SERVICE, CORP.
Authorized official MARTHA EGIEBOR - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2011
Last updated 12/27/2022 - About 3 years ago
Identifiers
IL License # 1011319
IL Other 1011319 DEPARTMENT OF PUBLIC HEALTH
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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