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General NPI Number Information
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NPI Number | 1942922620
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Entity Type | Organization
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Legal Business Name | FREYA CARE INC
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 100 SAUNDERS RD STE 150
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City | LAKE FOREST
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State | IL
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Zip | 60045-2526
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Country | US
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Telephone | 312-810-5059
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Fax |
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Provider Business Mailing Address
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Address Line | 100 SAUNDERS RD STE 150
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City | LAKE FOREST
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State | IL
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Zip | 60045-2526
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Country | US
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Telephone | 312-810-5059
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MODINAT SMITH
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Credential |
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Telephone | 312-538-2301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 376J00000X
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Taxonomy Name | Homemaker
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 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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