Provider Demographics
NPI:1306432547
Name:AA HOME HEALTH SERVICES
Entity type:Organization
Organization Name:AA HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOSUNMOLA
Authorized Official - Middle Name:FOLASHADE
Authorized Official - Last Name:ABDULAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-312-1556
Mailing Address - Street 1:17001 BERNADINE ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-1159
Mailing Address - Country:US
Mailing Address - Phone:312-753-9981
Mailing Address - Fax:
Practice Address - Street 1:17001 BERNADINE ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-1159
Practice Address - Country:US
Practice Address - Phone:312-753-9981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care