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General NPI Number Information
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NPI Number | 1396605390
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Entity Type | Organization
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Legal Business Name | MODERN MIDWEST HOME CARE LLC
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 20635 ABBEY WOODS CT N STE 303
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City | FRANKFORT
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State | IL
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Zip | 60423-3191
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Country | US
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Telephone | 630-296-9950
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Fax | 907-313-1400
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Provider Business Mailing Address
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Address Line | 20635 ABBEY WOODS CT N STE 303
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City | FRANKFORT
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State | IL
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Zip | 60423-3191
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Country | US
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Telephone | 630-296-9950
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Fax | 907-313-1400
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Authorized Official
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Title or Position | AGENCY MANAGER
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Name | ALYSSA KEPPLER
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Credential | CNA
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Telephone | 630-296-9950
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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 |
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License Number State |
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