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General NPI Number Information
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NPI Number | 1295866754
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Entity Type | Organization
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Legal Business Name | 4EVER CARE HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 06/08/2016
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Provider Practice Location Address
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Address Line | 2015 S ARLINGTON HEIGHTS RD STE 102
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-4150
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Country | US
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Telephone | 847-357-8008
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Fax | 847-357-8118
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Provider Business Mailing Address
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Address Line | 2015 S ARLINGTON HEIGHTS RD STE 102
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-4150
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Country | US
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Telephone | 847-357-8008
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Fax | 847-357-8118
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR OF NURSING
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Name | MRS. THERESITA MALINAO JOVELLANOS
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Credential | BSN, RN
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Telephone | 847-357-8008
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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 | 1010474
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1011868
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License Number State | IL
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