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General NPI Number Information
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NPI Number | 1902606692
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Entity Type | Organization
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Legal Business Name | COMPLETE HOME CARE, LLC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 309 W 23RD ST # C-1
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City | CHICAGO
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State | IL
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Zip | 60616-1905
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Country | US
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Telephone | 773-814-1672
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Fax |
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Provider Business Mailing Address
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Address Line | 309 W 23RD ST # C-1
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City | CHICAGO
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State | IL
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Zip | 60616-1905
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Country | US
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Telephone | 773-814-1672
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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 | LILY YUEN
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Credential |
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Telephone | 773-814-1672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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