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General NPI Number Information
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NPI Number | 1295551943
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Entity Type | Organization
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Legal Business Name | JUBILANT HEARTS HEALTHCARE INCORPORATED
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 3055 W 111TH ST
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City | CHICAGO
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State | IL
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Zip | 60655-2251
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Country | US
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Telephone | 312-843-0830
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Fax | 773-409-8763
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Provider Business Mailing Address
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Address Line | 7348 S WOODLAWN AVE
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City | CHICAGO
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State | IL
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Zip | 60619-2020
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Country | US
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Telephone | 773-668-1686
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Fax | 773-409-8763
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Authorized Official
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Title or Position | CEO
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Name | KATINA EDWARDS
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Credential |
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Telephone | 312-843-0830
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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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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