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General NPI Number Information
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NPI Number | 1174914477
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Entity Type | Organization
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Legal Business Name | PRESTIGE LHCSA MANAGEMENT, INC
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 329 E 149TH ST 3RD FLOOR
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City | BRONX
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State | NY
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Zip | 10451-5601
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Country | US
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Telephone | 718-450-8054
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Fax | 718-450-8092
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Provider Business Mailing Address
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Address Line | 329 E 149TH ST 3RD FLOOR
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City | BRONX
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State | NY
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Zip | 10451-5601
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Country | US
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Telephone | 718-450-8054
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Fax | 718-450-8092
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Authorized Official
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Title or Position | SERVICE CENTER MANAGER
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Name | KAYLA SCHEINER
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Credential |
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Telephone | 718-338-8500
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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 | 2401L
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License Number State | NY
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