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General NPI Number Information
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NPI Number | 1144190240
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Entity Type | Organization
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Legal Business Name | AMITY ELDERLY CARE SERVICES LLC
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 11943 207 STREET APT C
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City | LAKEWOOD
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State | CA
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Zip | 90715
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Country | US
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Telephone | 562-625-7761
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Fax |
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Provider Business Mailing Address
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Address Line | 835 WILSHIRE BLVD STE 500 #530
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City | LOS ANGELES
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State | CA
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Zip | 90017-2656
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Country | US
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Telephone | 562-625-7761
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Fax |
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Authorized Official
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Title or Position | OPERATION MANAGER
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Name | MR. ISAAC ROYCE MARQUEZ PALAPAL
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Credential |
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Telephone | 562-625-7761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 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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