ABITA HEALTHCARE INC. — NPI 1568299774 (CMS-Certified Home Health Care & Skilled Nursing Agency in HOFFMAN ESTATES, IL)

CMS-1500 Box 24J / 33a • NPI

1568299774

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251E00000X (CMS A4[11])

CMS-Certified Home Health Care & Skilled Nursing Agency

Box 32 Service Location & ZIP+4

2815 FORBS AVE STE 107, HOFFMAN ESTATES, IL, 60192-3731

✓ 9-Digit EDI 837 ZIP+4 (60192-3731)

Practice Phone & Referral Fax

(773) 663-1602

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1568299774 (ABITA HEALTHCARE INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1568299774` (NPI-2 Organization / Facility)
Provider / Legal Name	ABITA HEALTHCARE INC.
Plain-English Specialty	CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: `251E00000X` (Home Health)
Certifying / Licensing Body	CMS Home Health Conditions of Participation / CHAP / ACHC
Practice Location Address	2815 FORBS AVE STE 107, HOFFMAN ESTATES, IL, 60192-3731
Practice Telephone / Fax	Tel: (773) 663-1602
Administrative Mailing Address	2815 FORBS AVE STE 107, HOFFMAN ESTATES, IL, 60192-3731
Enumeration & Last Sync	Enumerated: 2024-09-19 \| CMS Record Updated: 2025-02-05
Authorized Official	RAJ MAHTANI (Agency Administrator/ Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2815 FORBS AVE STE 107, HOFFMAN ESTATES, IL, 60192-3731

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Plain-English Taxonomy & CMS Crosswalk (251E00000X)

What Does Taxonomy Code 251E00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251E00000X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A4[11] (Home Health Agency) • CMS Code A4[11] (Home Health Agency (Subunit))
Certifying / Accrediting Authority: CMS Home Health Conditions of Participation / CHAP / ACHC
Clinical Scope: Post-hospital discharge recovery, homebound skilled nursing, physical therapy after joint replacement, or home IV antibiotic therapy.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABITA HEALTHCARE INC.)

Typical CPT / Diagnostic Procedures:

In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation

Common Therapeutic Classes:

Home Infusion Antimicrobials, Anticoagulants & Insulin Titration

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WH0200X` — Registered Nurse, Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`2278H0200X` — Respiratory Therapist, Certified, Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`2279H0200X` — Respiratory Therapist, Registered, Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Yes (Primary)
`251F00000X` — Home Infusion Plain English: Licensed & Credentialed Home Infusion	State: N/A \| License: `Verified` \| Primary: Secondary
`251J00000X` — Nursing Care Plain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)	State: N/A \| License: `Verified` \| Primary: Secondary
`364SH0200X` — Clinical Nurse Specialist, Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`374U00000X` — Home Health Aide Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary

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ABITA HEALTHCARE INC. (NPI #1568299774)