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General NPI Number Information
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NPI Number | 1750331955
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Entity Type | Organization
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Legal Business Name | GRAND HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 7435 W BELMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60634-3330
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Country | US
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Telephone | 773-413-6750
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Fax | 773-413-6756
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Provider Business Mailing Address
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Address Line | 7435 W BELMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60634-3330
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Country | US
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Telephone | 773-413-6750
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Fax | 773-413-6756
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Authorized Official
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Title or Position | ADMINISTRATOR / VICE PRESIDENT
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Name | MS. MARIA L. BUENDIA
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Credential | R.N.
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Telephone | 773-413-6750
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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 | IL1009794
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License Number State | IL
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