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General NPI Number Information
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NPI Number | 1922242999
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Entity Type | Organization
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Legal Business Name | ALPHA HOME HEALTH CARE INC
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Dates
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Enumeration Date | 04/22/2009
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 11509 S ELIZABETH STREETR
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City | CHICAGO
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State | IL
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Zip | 60643
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Country | US
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Telephone | 773-291-0000
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Fax | 888-679-8268
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Provider Business Mailing Address
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Address Line | 11509 S ELIZABETH ST
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City | CHICAGO
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State | IL
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Zip | 60643-5115
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Country | US
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Telephone | 773-291-0000
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Fax | 630-601-5604
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | BAYO ADEYEMO
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Credential |
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Telephone | 773-291-0000
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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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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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