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General NPI Number Information
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NPI Number | 1104544402
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Entity Type | Organization
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Legal Business Name | MASSEYS LOVING CARE LLC
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 707 BROOKPARK RD
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City | CLEVELAND
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State | OH
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Zip | 44109-5800
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Country | US
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Telephone | 216-905-6896
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Fax |
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Provider Business Mailing Address
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Address Line | 19612 CHEROKEE AVE
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City | CLEVELAND
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State | OH
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Zip | 44119-2822
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Country | US
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Telephone | 216-905-6896
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIEL MASSEY
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Credential |
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Telephone | 216-905-6896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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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 | 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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