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General NPI Number Information
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NPI Number | 1821153784
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Entity Type | Organization
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Legal Business Name | AMERICARE SENIOR HOME HEALTH, INC.
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 6609 N LINCOLN AVE SUITE 110
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-3640
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Country | US
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Telephone | 847-675-4640
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Fax | 847-675-4642
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Provider Business Mailing Address
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Address Line | 6609 N LINCOLN AVE SUITE 110
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-3640
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Country | US
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Telephone | 847-675-4640
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Fax | 847-675-4642
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ARACELI LUBRIN MENDOZA
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Credential | MSN, APN, CCNS
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Telephone | 630-416-6338
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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 | 1010486
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License Number State | IL
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