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General NPI Number Information
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NPI Number | 1477652998
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Entity Type | Organization
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Legal Business Name | CAREFIRST HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 03/04/2014
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Provider Practice Location Address
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Address Line | 7101 N CICERO AVE SUITE 104
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-2112
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Country | US
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Telephone | 847-677-9662
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Fax | 847-677-9661
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Provider Business Mailing Address
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Address Line | 6731 N LINCOLN AVE
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-3606
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Country | US
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Telephone | 847-677-9662
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Fax | 847-677-9661
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Authorized Official
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Title or Position | ADMINISTRATOR/DON
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Name | MISS MARIA DOLORES ENGRACIA
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Credential | R.N., B.S.N.
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Telephone | 847-677-9662
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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 | 1010500
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License Number State | IL
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