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General NPI Number Information
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NPI Number | 1659057750
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Entity Type | Organization
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Legal Business Name | SUCCESS HOME HEALTH LLC
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 800 BIESTERFIELD RD STE 4010
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3372
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Country | US
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Telephone | 224-366-0686
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Fax | 224-808-3066
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Provider Business Mailing Address
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Address Line | 212 WALNUT DR
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City | STREAMWOOD
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State | IL
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Zip | 60107-1250
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Country | US
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Telephone | 224-366-0686
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Fax | 224-808-3066
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Authorized Official
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Title or Position | PRESIDENT
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Name | YARO STANISZ
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Credential |
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Telephone | 847-401-6913
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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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