Wellformed AI

NPI 1477360311 · live from the CMS NPI Registry

Abundant Health Solutions LLC

Home Health in Hazel Crest, IL. National Provider Identifier 1477360311, active.

NPI record

NPI1477360311 Type 2 · organization
StatusActive
Primary specialtyHome Health 251E00000X
Practice location17577 S Kedzie Ave, Suite 205 C, Hazel Crest, IL 60429
Practice phone833-400-0171
EnumeratedDecember 13, 2024
Last updatedDecember 13, 2024
Authorized officialAngellette Holliday, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Home Health primary251E00000X—
In Home Supportive Care253Z00000X—
Non-emergency Medical Transport (VAN)343900000X—
Respite Care385H00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.