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General NPI Number Information
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NPI Number | 1003853615
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Entity Type | Organization
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Legal Business Name | ESSENTIAL HOME CARE, INC.
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 03/04/2020
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Provider Practice Location Address
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Address Line | 1 TRANSAM PLAZA DR STE 180
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4820
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Country | US
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Telephone | 630-963-9096
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Fax | 630-963-9594
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Provider Business Mailing Address
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Address Line | 1 TRANSAM PLAZA DR STE 180
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4820
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Country | US
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Telephone | 630-963-9096
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Fax | 630-963-9594
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. FE FAJARDO-CULLINANE
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Credential | RN
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Telephone | 630-963-9096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1010584
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License Number State | IL
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