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General NPI Number Information
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NPI Number | 1568467819
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Entity Type | Organization
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Legal Business Name | GENTLE HOME SERVICES, INC.
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 570 LAKE COOK RD STE 204
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City | DEERFIELD
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State | IL
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Zip | 60015-4955
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Country | US
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Telephone | 847-444-1222
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Fax | 847-444-1333
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Provider Business Mailing Address
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Address Line | 570 LAKE COOK RD. STE 116
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City | DEERFIELD
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State | IL
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Zip | 60015
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Country | US
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Telephone | 847-444-1222
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Fax | 847-444-1333
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MICHAEL D BERLIANT
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Credential |
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Telephone | 847-444-1222
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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 | 1006188
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License Number State | IL
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