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General NPI Number Information
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NPI Number | 1144009523
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Entity Type | Organization
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Legal Business Name | HERO HOME CARE LLC
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 8605 W BRYN MAWR AVE STE 309
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City | CHICAGO
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State | IL
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Zip | 60631-3510
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Country | US
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Telephone | 708-843-3101
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Fax |
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Provider Business Mailing Address
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Address Line | 10240 S 86TH CT
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City | PALOS HILLS
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State | IL
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Zip | 60465-1607
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Country | US
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Telephone | 708-843-3101
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | NADA SALEH
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Credential |
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Telephone | 708-843-3101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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