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General NPI Number Information
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NPI Number | 1104695709
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Entity Type | Organization
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Legal Business Name | HANNY HOMECARE LLC
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 4328 RETREAT RD
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City | LOUISVILLE
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State | KY
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Zip | 40219-1665
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Country | US
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Telephone | 502-418-7038
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Fax |
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Provider Business Mailing Address
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Address Line | 4237 POPPY AVE
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City | LOUISVILLE
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State | KY
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Zip | 40216-4439
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Country | US
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Telephone | 502-418-7038
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS JANY DE ARMAS SUBIRES
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Credential |
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Telephone | 502-418-7038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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