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General NPI Number Information
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NPI Number | 1124357629
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Entity Type | Organization
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Legal Business Name | HOMECOMING HEALTHCARE INC.
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Dates
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Enumeration Date | 12/11/2009
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 4908 W 183 STREET
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City | COUNTRY CLUB HILLS
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State | IL
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Zip | 60478-4908
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Country | US
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Telephone | 708-914-4990
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Fax | 708-960-0178
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Provider Business Mailing Address
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Address Line | 4908 W 183 STREET
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City | COUNTRY CLUB HILLS
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State | IL
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Zip | 60478-4908
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Country | US
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Telephone | 708-914-4990
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Fax | 708-960-0178
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | STEVE BIANCHI
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Credential | RN
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Telephone | 708-914-4990
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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 | 1011175
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1011647
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License Number State | IL
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