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General NPI Number Information
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NPI Number | 1811626500
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Entity Type | Organization
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Legal Business Name | PRAIRIE HOME HEALTHCARE SERVICES CORPORATION
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 700 E PARK AVE STE 101
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-2907
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Country | US
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Telephone | 773-366-2227
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Fax | 847-242-2349
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Provider Business Mailing Address
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Address Line | 700 E PARK AVE STE 101
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-2907
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Country | US
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Telephone | 773-366-2227
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Fax | 847-242-2349
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Authorized Official
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Title or Position | AGENCY MANAGER
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Name | MR. OLUSHEGUN VICTOR OLAPOJOYE
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Credential |
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Telephone | 773-366-2227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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