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NPI Code Detail

MEDICARE: EMBRACE CARE, INC.

MEDICARE: EMBRACE CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1457812380
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMBRACE CARE, INC.
Provider Business Mailing Address
First Line : 840 S NORTHWEST HWY
Second Line :
City : BARRINGTON
State : IL
Zip : 60010-4622
Country : US
Telephone Number : 847-208-1174
Fax Number : 847-752-6013
Provider Business Practice Location Address
First Line : 840 S NORTHWEST HWY
Second Line :
City : BARRINGTON
State : IL
Zip : 60010-4622
Country : US
Telephone Number : 847-208-1174
Fax Number : 847-752-6013
Authorized Official
Title or Position : OWNER
Name : ENRIQUE M VASQUEZ
Credential :
Telephone Number : 847-232-7130
Provider Enumeration Date : 03/25/2019
Last Update Date : 03/25/2019

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