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General NPI Number Information
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NPI Number | 1154078731
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Entity Type | Organization
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Legal Business Name | RITECARE HOME HEALTH SERVICES
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 9420 PARK HUNT CT
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City | SPRINGFIELD
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State | VA
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Zip | 22153-1351
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Country | US
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Telephone | 703-278-8076
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Fax |
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Provider Business Mailing Address
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Address Line | 9420 PARK HUNT CT
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City | SPRINGFIELD
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State | VA
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Zip | 22153-1351
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Country | US
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Telephone | 703-278-8076
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ELLEN N IDUMA
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Credential | NP
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Telephone | 703-278-8076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing 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 | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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