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General NPI Number Information
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NPI Number | 1659889574
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Entity Type | Organization
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Legal Business Name | OPEN ARMS HOME ASSISTANCE
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 5113 S HARPER AVE STE 2C
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City | CHICAGO
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State | IL
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Zip | 60615-4119
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Country | US
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Telephone | 219-741-1470
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Fax |
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Provider Business Mailing Address
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Address Line | 6730 ONTARIO AVE
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City | HAMMOND
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State | IN
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Zip | 46323-1440
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Country | US
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Telephone | 219-741-1470
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Fax |
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Authorized Official
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Title or Position | OWNER/COO
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Name | MR. KENNETH WESTON
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Credential |
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Telephone | 219-741-1470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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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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