- Enrollment id
- O20091130000327
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1184606121
- Multiple npi flag
- N
- Ccn
- 147567
- Associate id
- 1254470578
- Organization name
- ALLBEST HOME HEALTH CARE INC
- Incorporation date
- 2004-12-14
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 475 W 55TH ST
- Address line 2
- STE 211
- City
- COUNTRYSIDE
- State
- IL
- Zip code
- 605253566