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General NPI Number Information
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NPI Number | 1013363027
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Entity Type | Organization
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Legal Business Name | HOLY SPIRIT HOMECARE, INC.
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Dates
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Enumeration Date | 05/09/2016
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Last Update Date | 05/09/2016
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Provider Practice Location Address
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Address Line | 12521 PLOVER ST
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City | LAKEWOOD
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State | OH
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Zip | 44107-5213
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Country | US
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Telephone | 440-341-7225
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Fax |
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Provider Business Mailing Address
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Address Line | 12521 PLOVER ST
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City | LAKEWOOD
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State | OH
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Zip | 44107-5213
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Country | US
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Telephone | 440-341-7225
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Fax |
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Authorized Official
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Title or Position | RN
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Name | MS. JENNIFER LYNN MCGREGOR
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Credential | ASSOCIATE DEGREE
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Telephone | 440-341-7225
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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 | 184599
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License Number State | OH
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