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General NPI Number Information
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NPI Number | 1053117911
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Entity Type | Organization
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Legal Business Name | SIESTA KEY HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 6405 BAYTOWN DR
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City | SARASOTA
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State | FL
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Zip | 34240-2216
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Country | US
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Telephone | 941-960-9146
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Fax |
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Provider Business Mailing Address
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Address Line | 2075 MAIN ST STE 35
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City | SARASOTA
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State | FL
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Zip | 34237-6031
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Country | US
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Telephone | 941-960-9146
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | RANYA K KARGBO
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Credential | MS
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Telephone | 941-960-9146
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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