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General NPI Number Information
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NPI Number | 1841389236
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Entity Type | Organization
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Legal Business Name | DIRECT HOME HEALTHCARE, INC.
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 4001 W DEVON AVE SUITE 312
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City | CHICAGO
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State | IL
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Zip | 60646-4523
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Country | US
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Telephone | 773-777-9271
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Fax |
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Provider Business Mailing Address
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Address Line | 2250 E DEVON AVE STE 341
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City | DES PLAINES
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State | IL
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Zip | 60018-4509
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Country | US
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Telephone | 773-516-4196
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Fax | 844-310-3346
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Authorized Official
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Title or Position | PRESIDENT & ADMINISTRATOR
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Name | JUDE NWOKENKWO
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Credential |
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Telephone | 773-777-9271
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1010414
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License Number State | IL
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