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General NPI Number Information
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NPI Number | 1780325894
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Entity Type | Organization
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Legal Business Name | POINT OF CARE HOME HEALTH, LLC
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 2423 E 75TH ST
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City | CHICAGO
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State | IL
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Zip | 60649-3715
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Country | US
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Telephone | 765-387-7404
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Fax |
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Provider Business Mailing Address
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Address Line | 7410 S PAXTON AVE
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City | CHICAGO
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State | IL
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Zip | 60649-3215
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Country | US
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Telephone | 312-967-9933
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. DELESHIA KINNEY
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Credential |
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Telephone | 765-387-7404
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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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