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General NPI Number Information
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NPI Number | 1013086511
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Entity Type | Organization
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Legal Business Name | HOME HEALTH ONE LTD
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 03/15/2018
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Provider Practice Location Address
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Address Line | 825 N CASS AVE STE 111
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City | WESTMONT
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State | IL
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Zip | 60559-6401
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Country | US
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Telephone | 630-887-8609
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Fax | 630-887-8615
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Provider Business Mailing Address
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Address Line | 825 N CASS AVE STE 111
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City | WESTMONT
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State | IL
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Zip | 60559-6401
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Country | US
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Telephone | 630-887-8609
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Fax | 630-887-8615
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | ELMA DELA CRUZ-DE VERA
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Credential |
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Telephone | 630-887-8609
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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 | 1010615
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License Number State | IL
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