Organization
ILLINOIS FAMILY HOME HEALTH SERVICES, LLC
Active
Parent organization
ILLINOIS FAMILY HOME HEALTH SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ILLINOIS FAMILY HOME HEALTH SERVICES, LLC
Authorized official
ABRAHAM MATHAI (ADMINISTRATOR)
(847) 972-1590
Entity
Organization
Contact information
Practice address
2401 W US HIGHWAY 20, #200, PINGREE GROVE, IL 60140-8818
(847) 972-1590
(847) 972-1544
Mailing address
2401 W US HIGHWAY 20, #200, PINGREE GROVE, IL 60140-8818
(847) 972-1590
(847) 972-1544
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2019992
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019992
ILLINOIS STATE LICENSE
IL
Enumeration date
09/27/2011
Last updated
09/27/2011
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