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General NPI Number Information
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NPI Number | 1134683543
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND HOME HEALTH AGENCY LLC
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Dates
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Enumeration Date | 01/30/2019
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 500 N RAINBOW BLVD STE 300
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City | LAS VEGAS
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State | NV
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Zip | 89107-1061
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Country | US
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Telephone | 412-708-2482
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Fax |
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Provider Business Mailing Address
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Address Line | 10141 ROCKRIDGE PEAK AVE
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City | LAS VEGAS
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State | NV
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Zip | 89166-5200
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL NWOKIKE
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Credential |
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Telephone | 412-708-2482
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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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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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