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General NPI Number Information
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NPI Number | 1184094419
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Entity Type | Organization
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Legal Business Name | AT YOUR SERVICE HOMECARE, LLC
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 1540 E DUNDEE RD STE 110
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City | PALATINE
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State | IL
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Zip | 60074-8316
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Country | US
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Telephone | 847-221-8444
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Fax | 847-600-4985
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Provider Business Mailing Address
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Address Line | 1540 E DUNDEE RD STE 110
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City | PALATINE
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State | IL
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Zip | 60074-8316
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Country | US
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Telephone | 847-221-8444
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Fax | 847-600-4985
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GRISHMA A PATEL
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Credential | LPN
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Telephone | 847-221-8444
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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 | 3001049
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License Number State | IL
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