Provider Demographics
NPI:1740036623
Name:BAOBAB HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:BAOBAB HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIEMWENSE
Authorized Official - Middle Name:SANDRA
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RN, APRN
Authorized Official - Phone:630-706-1127
Mailing Address - Street 1:20550 S LAGRANGE RD STE 11
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-1699
Mailing Address - Country:US
Mailing Address - Phone:708-262-8386
Mailing Address - Fax:464-222-3721
Practice Address - Street 1:20550 S LAGRANGE RD STE 11
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-1699
Practice Address - Country:US
Practice Address - Phone:708-262-8386
Practice Address - Fax:464-222-3721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing CareGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty