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General NPI Number Information
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NPI Number | 1952296188
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Entity Type | Organization
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Legal Business Name | ELLEN'S CARE GROUP.INC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 9401 BAY COLONY DR APT 2E
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City | DES PLAINES
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State | IL
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Zip | 60016-3670
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Country | US
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Telephone | 508-364-4675
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Fax |
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Provider Business Mailing Address
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Address Line | 9401 BAY COLONY DR APT 2E
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City | DES PLAINES
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State | IL
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Zip | 60016-3670
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Country | US
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Telephone | 508-364-4675
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OLENA HAVRYLOVYCH
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Credential |
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Telephone | 508-364-4675
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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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