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General NPI Number Information
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NPI Number | 1265635775
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Entity Type | Organization
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Legal Business Name | HOMEHEALTH CONNECT INC
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 2340 S ARLINGTON HEIGHTS RD STE 420
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-4507
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Country | US
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Telephone | 847-258-4603
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Fax | 847-258-4630
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Provider Business Mailing Address
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Address Line | 2340 S ARLINGTON HEIGHTS RD STE 420
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-4507
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Country | US
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Telephone | 847-258-4603
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Fax | 847-258-4630
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. JULIETA AMANTE
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Credential |
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Telephone | 847-258-4603
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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 | 148069
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License Number State | IL
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