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General NPI Number Information
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NPI Number | 1184996258
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HOME HEALTHCARE
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Dates
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Enumeration Date | 02/03/2012
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 3000 S 84TH ST
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City | OMAHA
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State | NE
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Zip | 68124-3215
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Country | US
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Telephone | 402-955-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 8200 DODGE ST
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City | OMAHA
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State | NE
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Zip | 68114-4113
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Country | US
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Telephone | 402-955-6826
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Fax | 402-955-6850
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | CHANDA C CHACON
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Credential |
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Telephone | 402-955-6826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2068
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License Number State | NE
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