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General NPI Number Information
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NPI Number | 1477231231
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Entity Type | Organization
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Legal Business Name | HUMILITY HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 9932 S WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60643-1831
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Country | US
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Telephone | 773-656-7427
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Fax |
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Provider Business Mailing Address
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Address Line | 500 PARK AVE APT 627
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City | CALUMET CITY
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State | IL
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Zip | 60409-5034
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Country | US
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Telephone | 773-656-7427
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MARKETTA MCCOLLOUGH
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Credential |
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Telephone | 773-656-7427
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #5
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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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