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General NPI Number Information
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NPI Number | 1598641706
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Entity Type | Organization
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Legal Business Name | ELITECARE HOME HEALTH
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 9601 CENTENNIAL DRIVE 2ND FLOOR
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City | MUNSTER
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State | IN
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Zip | 46321
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Country | US
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Telephone | 312-404-7184
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Fax |
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Provider Business Mailing Address
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Address Line | 3831 HOHMAN AVE # 5064
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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 | 312-404-7184
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRIANA SMITH
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Credential |
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Telephone | 312-404-7184
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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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