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General NPI Number Information
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NPI Number | 1154292274
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Entity Type | Organization
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Legal Business Name | BENEVOLENT CLEVELAND HOME HEALTH OPERATIONS LLC
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 925 KEYNOTE CIR STE 300
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City | BROOKLYN HEIGHTS
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State | OH
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Zip | 44131-1869
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Country | US
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Telephone | 216-931-1300
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Fax | 216-260-1244
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Provider Business Mailing Address
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Address Line | 5307 E MOCKINGBIRD LN STE 575
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City | DALLAS
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State | TX
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Zip | 75206-5109
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Country | US
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Telephone | 214-558-3151
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MATT JOHNSON
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Credential |
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Telephone | 214-558-3151
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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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