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General NPI Number Information
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NPI Number | 1255496295
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Entity Type | Organization
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Legal Business Name | 1ST HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5875 N LINCOLN AVE SUITE 229
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City | CHICAGO
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State | IL
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Zip | 60659-4672
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Country | US
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Telephone | 773-275-7935
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Fax | 773-275-7936
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Provider Business Mailing Address
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Address Line | 5875 N LINCOLN AVE SUITE 229
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City | CHICAGO
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State | IL
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Zip | 60659-4672
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSE GARCIA DELA CRUZ
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Credential | RN
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Telephone | 773-275-7935
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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 | 147870
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License Number State | IL
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