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General NPI Number Information
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NPI Number | 1043320211
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Entity Type | Organization
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Legal Business Name | AMERICAN HOMECARE LLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 38010 N PENINSULA RD
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City | LAKE VILLA
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State | IL
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Zip | 60046-9718
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Country | US
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Telephone | 847-543-4319
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Fax | 847-543-6883
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Provider Business Mailing Address
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Address Line | 38010 N PENINSULA RD
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City | LAKE VILLA
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State | IL
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Zip | 60046-9718
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Country | US
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Telephone | 847-543-4319
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Fax | 847-543-6883
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Authorized Official
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Title or Position | CEO
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Name | KATHLEEN ROSE SEMMERLING
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Credential | RN
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Telephone | 847-543-4319
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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 | 1010244
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License Number State | IL
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