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General NPI Number Information
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NPI Number | 1093530693
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Entity Type | Organization
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Legal Business Name | GREEN PASTURES HOME AIDE LLC
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 75 GANSETT LN
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City | AMAGANSETT
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State | NY
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Zip | 11930
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Country | US
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Telephone | 929-525-9594
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Fax |
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Provider Business Mailing Address
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Address Line | 16909 107TH AVE # 2
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City | JAMAICA
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State | NY
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Zip | 11433-2420
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Country | US
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Telephone | 929-525-9594
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS DEARMO RAMSAY
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Credential | CERT
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Telephone | 929-525-9594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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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