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General NPI Number Information
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NPI Number | 1639377138
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Entity Type | Organization
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Legal Business Name | SCI HOME HEALTH, INC.
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 1800 NATIONS DR SUITE 216
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City | GURNEE
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State | IL
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Zip | 60031-9174
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Country | US
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Telephone | 847-244-6444
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Fax | 847-782-9997
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Provider Business Mailing Address
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Address Line | 1800 NATIONS DRIVE SUITE 216
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City | GURNEE
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State | IL
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Zip | 60031-9174
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Country | US
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Telephone | 847-244-6444
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Fax | 847-782-9997
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MA LOURDES REYES CELICIOUS
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Credential | RN, BSN
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Telephone | 847-244-6444
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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 | UNDER PROCESS
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License Number State | IL
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