Provider Demographics
NPI:1962261339
Name:HEBRON ABILITY SERVICES
Entity type:Organization
Organization Name:HEBRON ABILITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHIZOBA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUOKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-641-9009
Mailing Address - Street 1:1509 WAUKEGAN RD # 1098
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2122
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2111 S 4TH AVE
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3326
Practice Address - Country:US
Practice Address - Phone:412-641-9009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities