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NPI 1144768391

NPI 1144768391 : STRIVING INDEPENDENCE HOME CARE LLC. : KISSIMMEE, FL

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General NPI Number Information
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    NPI Number           |    1144768391
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    Entity Type          |    Organization 
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    Legal Business Name  |    STRIVING INDEPENDENCE HOME CARE LLC. 
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Dates
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    Enumeration Date     |    02/08/2017
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    Last Update Date     |    02/08/2017
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Provider Practice Location Address
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    Address Line         |    3901 SHOREVIEW DR 
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    City                 |    KISSIMMEE
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    State                |    FL
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    Zip                  |    34744-0004
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    Country              |    US
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    Telephone            |    321-438-2961
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    Fax                  |    407-910-6572
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Provider Business Mailing Address
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    Address Line         |    PO BOX 451583 
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    City                 |    KISSIMMEE
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    State                |    FL
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    Zip                  |    34745-1583
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    Country              |    US
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    Telephone            |    321-438-2961
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    Fax                  |    407-910-6572
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     TANYA  SHEFFIELD 
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    Credential           |    
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    Telephone            |    321-438-2961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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