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NPI 1043000870

NPI 1043000870 : RISE HOME HEALTH CARE LLC : MANSFIELD, OH

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General NPI Number Information
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    NPI Number           |    1043000870
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    Entity Type          |    Organization 
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    Legal Business Name  |    RISE HOME HEALTH CARE LLC 
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Dates
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    Enumeration Date     |    05/06/2025
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    Last Update Date     |    05/06/2025
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Provider Practice Location Address
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    Address Line         |    341 W COOK RD STE 3 
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    City                 |    MANSFIELD
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    State                |    OH
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    Zip                  |    44907-2348
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    Country              |    US
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    Telephone            |    614-973-0040
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    341 W COOK RD STE 3 
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    City                 |    MANSFIELD
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    State                |    OH
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    Zip                  |    44907-2348
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    Country              |    US
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    Telephone            |    614-973-0040
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     IBRAHIM  AHMED 
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    Credential           |    
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    Telephone            |    614-973-0040
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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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