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General NPI Number Information
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NPI Number | 1184210981
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Entity Type | Organization
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Legal Business Name | STANDARD HOME CARE, INC.
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Dates
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Enumeration Date | 12/15/2020
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Last Update Date | 02/13/2021
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Provider Practice Location Address
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Address Line | 123 E LAKE ST STE 102
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1156
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Country | US
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Telephone | 847-773-0076
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Fax | 847-801-0365
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Provider Business Mailing Address
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Address Line | 123 E LAKE ST STE 102
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1156
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Country | US
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Telephone | 847-773-0076
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Fax | 847-801-0365
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SYED A HUSSAINI
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Credential |
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Telephone | 847-502-8677
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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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