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General NPI Number Information
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NPI Number | 1992563704
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Entity Type | Organization
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Legal Business Name | LUXE HOME HEALTH LLC
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Dates
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Enumeration Date | 03/07/2024
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 1563 E 85TH AVE
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City | MERRILLVILLE
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State | IN
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Zip | 46410-8901
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Country | US
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Telephone | 219-837-0401
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Fax | 219-206-4296
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Provider Business Mailing Address
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Address Line | 2860 S RIVER RD STE 270
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City | DES PLAINES
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State | IL
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Zip | 60018-6006
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Country | US
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Telephone | 847-372-5920
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Fax | 847-588-1147
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. TONY KOCHUPARAMBIL
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Credential | OT
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Telephone | 847-372-5920
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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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