Ebenezer Home Health Service, Llc

LBN: Ebenezer Home Health Service, Llc
Ebenezer Home Health Service, Llc is an health care organization with primary practice located at 16860 Oak Park Ave Ste 201C , Tinley Park IL 60477-2787. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Ebenezer Home Health Service, Llc can be contacted via phone (708) 444-8511, or through Villasenor, Marilou via phone (773) 793-8627.

Contact Information

Primary practice address
16860 Oak Park Ave Ste 201C Tinley Park IL 60477-2787
Phone: (708) 444-8511
Fax: (708) 570-0800
Website:
Map and Directions
Authorized official contact:
Name: Villasenor, Marilou
Phone: (773) 793-8627

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1215075932
LBN Legal business name Ebenezer Home Health Service, Llc
DBA Doing business as
Authorized official Villasenor, Marilou
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Jul 7th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215075932 NPPES
Illinois MEDICAID 1215075932
Illinois MEDICAID 1215075932001
Illinois Other 1010723

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