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General NPI Number Information
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NPI Number | 1033593256
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Entity Type | Organization
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Legal Business Name | ANGEL SENIOR HOME CARE LLC
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 14100 SULLYFIELD CIR STE 300
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City | CHANTILLY
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State | VA
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Zip | 20151-1651
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Country | US
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Telephone | 571-216-4727
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Fax |
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Provider Business Mailing Address
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Address Line | 850 TOWBIN AVENUE
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City | LAKEWOOD
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State | NJ
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Zip | 08701
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Country | US
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Telephone | 703-971-4402
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Fax | 703-971-3931
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Authorized Official
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Title or Position | PRESIDENT
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Name | MEIR EPSTEIN
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Credential |
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Telephone | 732-800-6020
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1531065
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License Number State | VA
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