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NPI Code Detail

MEDICARE: MEDCARE HOME HEALTH ,INC

MEDICARE: MEDCARE HOME HEALTH ,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
1251E00000XHome Health Agency1920585IL

General Provider Information

NPI Number : 1891937660
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDCARE HOME HEALTH ,INC
Provider Business Mailing Address
First Line : 2640 W TOUHY AVE
Second Line : LOWER LEVEL 104
City : CHICAGO
State : IL
Zip : 60645-3198
Country : US
Telephone Number : 773-465-9970
Fax Number : 773-465-9971
Provider Business Practice Location Address
First Line : 2640 W TOUHY AVE
Second Line : LOWER LEVEL 104
City : CHICAGO
State : IL
Zip : 60645-3198
Country : US
Telephone Number : 773-465-9970
Fax Number : 773-465-9971
Authorized Official
Title or Position : PRESIDENT
Name : LEOMELDA M POJAS
Credential : R N
Telephone Number : 773-465-9970
Provider Enumeration Date : 03/25/2009
Last Update Date : 03/25/2009

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Directions to “MEDCARE HOME HEALTH ,INC ” Practice Location

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