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General NPI Number Information
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NPI Number | 1891937660
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Entity Type | Organization
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Legal Business Name | MEDCARE HOME HEALTH ,INC
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 2640 W TOUHY AVE LOWER LEVEL 104
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City | CHICAGO
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State | IL
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Zip | 60645-3198
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Country | US
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Telephone | 773-465-9970
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Fax | 773-465-9971
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Provider Business Mailing Address
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Address Line | 2640 W TOUHY AVE LOWER LEVEL 104
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City | CHICAGO
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State | IL
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Zip | 60645-3198
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Country | US
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Telephone | 773-465-9970
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Fax | 773-465-9971
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEOMELDA M POJAS
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Credential | R N
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Telephone | 773-465-9970
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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 | 1920585
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License Number State | IL
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