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General NPI Number Information
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NPI Number | 1033086079
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Entity Type | Organization
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Legal Business Name | YOUNG AT HEART HOME CARE
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 150 S PINE ISLAND RD STE 363
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City | PLANTATION
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State | FL
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Zip | 33324-2667
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Country | US
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Telephone | 954-425-9900
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Fax | 954-416-7037
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Provider Business Mailing Address
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Address Line | 150 S PINE ISLAND RD STE 363
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City | PLANTATION
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State | FL
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Zip | 33324-2667
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Country | US
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Telephone | 954-425-9900
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Fax | 954-416-7037
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Authorized Official
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Title or Position | CEO
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Name | ERICA ERGA KANJAN
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Credential |
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Telephone | 954-425-9900
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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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