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General NPI Number Information
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NPI Number | 1154275527
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Entity Type | Organization
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Legal Business Name | PHOENIX HOME CARE LLC
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 883 FIRE WALK
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City | MILPITAS
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State | CA
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Zip | 95035-8708
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Country | US
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Telephone | 669-351-5033
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Fax |
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Provider Business Mailing Address
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Address Line | 883 FIRE WALK
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City | MILPITAS
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State | CA
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Zip | 95035-8708
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Country | US
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Telephone | 669-351-5033
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | LOVELLA ANGELES
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Credential | ANGELES
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Telephone | 669-351-5211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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