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General NPI Number Information
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NPI Number | 1063628501
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Entity Type | Organization
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Legal Business Name | VANTAGE HOME HEALTH CARE SERVICES, INC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 19210 S VERMONT AVE STE 205
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City | GARDENA
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State | CA
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Zip | 90248-4428
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Country | US
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Telephone | 310-720-6097
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Fax | 310-538-4271
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Provider Business Mailing Address
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Address Line | 19210 S VERMONT AVE STE 205
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City | GARDENA
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State | CA
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Zip | 90248-4428
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Country | US
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Telephone | 310-713-7207
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Fax | 310-538-4271
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. OLAJUMOKE M OJUTE
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Credential | RN
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Telephone | 310-713-7207
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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 | NOT YET
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License Number State | CA
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