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General NPI Number Information
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NPI Number | 1861801987
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Entity Type | Organization
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Legal Business Name | ELITE HOME HEALTH & HOSPICE COMPANY
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 29W641 VALE RD
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City | WEST CHICAGO
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State | IL
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Zip | 60185-1724
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Country | US
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Telephone | 630-780-6222
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Fax | 630-780-6002
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Provider Business Mailing Address
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Address Line | 29W641 VALE RD
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City | WEST CHICAGO
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State | IL
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Zip | 60185-1724
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Country | US
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Telephone | 630-780-6222
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Fax | 630-780-6002
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Authorized Official
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Title or Position | OWNER/PRESIDENT/ADMINISTRATOR
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Name | MR. JAMES LOUIS FANELLI
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Credential | RN
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Telephone | 630-901-2337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | IL
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