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General NPI Number Information
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NPI Number | 1922967918
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Entity Type | Organization
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Legal Business Name | ELEVATED HEALTH LLC DBA BRIGHTSTAR CARE OF ROCKFORD
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 308 W STATE ST STE M8
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City | ROCKFORD
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State | IL
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Zip | 61101-1139
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Country | US
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Telephone | 815-475-1777
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Fax | 815-859-0909
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Provider Business Mailing Address
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Address Line | 719 E 40TH ST
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City | CHICAGO
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State | IL
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Zip | 60653-2803
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Country | US
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Telephone | 815-859-1777
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Fax | 815-859-0909
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEISHA FARRELL
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Credential |
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Telephone | 815-475-1777
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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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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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