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General NPI Number Information
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NPI Number | 1083550941
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Entity Type | Organization
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Legal Business Name | CHELLES CARE HOME HEALTH LLC
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 22130 MILLARD AVE
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City | RICHTON PARK
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State | IL
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Zip | 60471-1422
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Country | US
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Telephone | 708-965-4034
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Fax |
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Provider Business Mailing Address
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Address Line | 22130 MILLARD AVE
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City | RICHTON PARK
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State | IL
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Zip | 60471-1422
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TIFFANY HARDY
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Credential |
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Telephone | 773-556-2554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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