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General NPI Number Information
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NPI Number | 1659607307
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Entity Type | Organization
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Legal Business Name | NICE CARE HOME SERVICES INC
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Dates
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Enumeration Date | 10/29/2009
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Last Update Date | 10/29/2009
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Provider Practice Location Address
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Address Line | 8424 SKOKIE BLVD SUITE 203
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City | SKOKIE
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State | IL
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Zip | 60077-2568
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Country | US
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Telephone | 847-213-0638
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Fax |
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Provider Business Mailing Address
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Address Line | 8424 SKOKIE BLVD SUITE 203
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City | SKOKIE
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State | IL
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Zip | 60077-2568
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Country | US
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Telephone | 847-213-0638
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANIEL SCHAEFER
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Credential | RN
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Telephone | 847-213-0638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3000573
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 4000292
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License Number State | IL
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