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General NPI Number Information
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NPI Number | 1184273476
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Entity Type | Organization
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Legal Business Name | LOVING HOMES INC.
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Dates
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Enumeration Date | 09/09/2019
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 3428 LEE AVE N
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City | CRYSTAL
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State | MN
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Zip | 55422-2858
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Country | US
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Telephone | 612-229-0332
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Fax |
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Provider Business Mailing Address
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Address Line | 3428 LEE AVE N
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City | CRYSTAL
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State | MN
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Zip | 55422-2858
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Country | US
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Telephone | 612-229-0332
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | YASIN ABDI
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Credential |
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Telephone | 612-229-0332
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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 | 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 #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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