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General NPI Number Information
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NPI Number | 1912859737
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Entity Type | Organization
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Legal Business Name | MAX RESPITE HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 181 ASBURY AVE
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City | EVANSTON
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State | IL
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Zip | 60202-3801
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Country | US
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Telephone | 773-340-0068
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Fax |
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Provider Business Mailing Address
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Address Line | 181 ASBURY AVE
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City | EVANSTON
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State | IL
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Zip | 60202-3801
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Country | US
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Telephone | 773-340-0068
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RISIKAT I AJAKAIYE
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Credential |
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Telephone | 312-730-6515
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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 |
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License Number State |
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