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General NPI Number Information
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NPI Number | 1588521074
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Entity Type | Organization
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Legal Business Name | GLORIOUS STAR HOME CARE LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 3831 HOHMAN AVE # 128
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City | HAMMOND
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State | IN
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Zip | 46327-1160
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Country | US
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Telephone | 312-757-9292
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Fax |
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Provider Business Mailing Address
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Address Line | 15934 DOBSON AVE
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City | SOUTH HOLLAND
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State | IL
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Zip | 60473-1735
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Country | US
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Telephone | 312-757-9292
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EUNICE FOSTER
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Credential |
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Telephone | 317-757-9292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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