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General NPI Number Information
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NPI Number | 1730952813
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Entity Type | Organization
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Legal Business Name | TBF HOME HEALTH AGENCY
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 9150 CRAWFORD AVE # L1
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City | SKOKIE
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State | IL
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Zip | 60076-1700
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Country | US
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Telephone | 224-548-0927
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Fax | 847-556-6544
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Provider Business Mailing Address
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Address Line | 9150 CRAWFORD AVE # L1
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City | SKOKIE
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State | IL
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Zip | 60076-1700
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Country | US
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Telephone | 224-548-0927
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Fax | 847-556-6544
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TAKALA FOMOND
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Credential | LPN
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Telephone | 224-420-6894
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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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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical 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 | 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 #4
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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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