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NPI 1760540470

NPI 1760540470 : HOME HEALTHCARE RENEWAL SERVICES, INC : MORRIS, IL

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General NPI Number Information
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    NPI Number           |    1760540470
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOME HEALTHCARE RENEWAL SERVICES, INC 
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Dates
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    Enumeration Date     |    12/05/2006
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    Last Update Date     |    01/19/2026
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Provider Practice Location Address
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    Address Line         |    105 E MAIN ST STE 206 
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    City                 |    MORRIS
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    State                |    IL
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    Zip                  |    60450-2138
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    Country              |    US
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    Telephone            |    815-513-5929
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    Fax                  |    708-252-3816
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Provider Business Mailing Address
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    Address Line         |    105 E MAIN ST STE 206 
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    City                 |    MORRIS
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    State                |    IL
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    Zip                  |    60450-2138
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    Country              |    US
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    Telephone            |    815-513-5929
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    Fax                  |    708-252-3816
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     STORI LYNN WORTH 
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    Credential           |    RN
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    Telephone            |    815-513-5929
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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       |    1002609
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    License Number State |    IL
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