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General NPI Number Information
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NPI Number | 1841850187
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Entity Type | Organization
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Legal Business Name | A&M HOME CARE LLC
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 366 STATION PARK CIR
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City | GRAYSLAKE
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State | IL
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Zip | 60030-2469
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Country | US
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Telephone | 847-986-6085
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Fax |
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Provider Business Mailing Address
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Address Line | 366 STATION PARK CIR
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City | GRAYSLAKE
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State | IL
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Zip | 60030-2469
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Country | US
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Telephone | 847-986-6085
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Fax |
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Authorized Official
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Title or Position | AGENCY MANAGER
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Name | MICHAEL T GERTY
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Credential |
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Telephone | 847-986-6085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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