NPI 1700196995 · live from the CMS NPI Registry
Abundant Home Health Services, INC
Home Health in Bourbonnais, IL. National Provider Identifier 1700196995, active.
NPI record
| NPI | 1700196995 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 19 Heritage Dr Ste 102, Bourbonnais, IL 60914 |
| Practice phone | 815-932-1600 |
| Mailing address | 19 Heritage Plaza Suite102, Bourbonnais, IL 60914 |
| Enumerated | October 20, 2010 |
| Last updated | September 1, 2016 |
| Authorized official | Michael Udonkang, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Home Health primary | 251E00000X | — (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.