NPI 1902133754 · live from the CMS NPI Registry
Abilicare, LLC
Home Health in Champaign, IL. National Provider Identifier 1902133754, active.
NPI record
| NPI | 1902133754 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 2418 W Springfield Ave, Champaign, IL 61821 |
| Practice phone | 217-355-8855 |
| Enumerated | November 13, 2009 |
| Last updated | November 13, 2009 |
| Authorized official | Marciano Mondala, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | 1011193 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.