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General NPI Number Information
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NPI Number | 1306397211
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Entity Type | Organization
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Legal Business Name | IN HOME PERSONAL SERVICES, INC
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 813 TEK DR
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-8172
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Country | US
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Telephone | 877-826-4477
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Fax |
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Provider Business Mailing Address
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Address Line | 813 TEK DR
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-8172
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Country | US
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Telephone | 877-826-4477
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Fax |
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Authorized Official
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Title or Position | AGENCY ADMINISTRATOR
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Name | HUMBERTO VILCHIS
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Credential |
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Telephone | 815-558-1521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3000124
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License Number State | IL
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