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General NPI Number Information
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NPI Number | 1205247616
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Entity Type | Organization
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Legal Business Name | HOME CARE PERSONAL SERVICES, INC.
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 13 HERITAGE DR
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City | BOURBONNAIS
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State | IL
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Zip | 60914-2514
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Country | US
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Telephone | 815-935-5339
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Fax | 815-935-5351
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Provider Business Mailing Address
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Address Line | 1809 N MILL ST SUITE E
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City | NAPERVILLE
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State | IL
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Zip | 60563-1288
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Country | US
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Telephone | 630-434-0071
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Fax | 630-434-0073
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. HENRIETTA HUGHES
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Credential | R.N.
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Telephone | 630-434-0071
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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 | 300154
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License Number State | IL
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