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General NPI Number Information
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NPI Number | 1972533735
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Entity Type | Organization
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Legal Business Name | HARMONY HOME HEALTH AGENCY, INC.
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 245 W ROOSEVELT RD # 130-131
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City | WEST CHICAGO
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State | IL
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Zip | 60185-3739
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Country | US
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Telephone | 708-274-4420
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Fax | 708-274-4427
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Provider Business Mailing Address
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Address Line | 245 W ROOSEVELT RD BLDG 130-131
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City | WEST CHICAGO
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State | IL
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Zip | 60185-3739
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Country | US
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Telephone | 708-274-4420
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Fax | 708-274-4427
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. FLORENCIO D. GERONIMO JR.
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Credential |
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Telephone | 708-274-4420
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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 | 1010530
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License Number State | IL
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