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General NPI Number Information
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NPI Number | 1053468496
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Entity Type | Organization
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Legal Business Name | HOME CARE RESOURCES HOME HEALTH AGENCY, LLC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 5979 NW 151ST ST STE 109
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2446
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Country | US
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Telephone | 305-895-7052
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Fax | 305-895-7054
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Provider Business Mailing Address
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Address Line | 7000 W PALMETTO PARK RD STE 210
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City | BOCA RATON
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State | FL
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Zip | 33433-3430
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Country | US
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Telephone | 305-895-7052
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Fax | 305-895-7054
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Authorized Official
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Title or Position | AO
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Name | LISA MARIE MARTINOLICH
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Credential |
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Telephone | 561-252-2470
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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 | 299991938
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License Number State | FL
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