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NPI 1205469830

NPI 1205469830 : BIG HEARTS TO HEARTS HOME CARE LLC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1205469830
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    Entity Type          |    Organization 
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    Legal Business Name  |    BIG HEARTS TO HEARTS HOME CARE LLC 
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Dates
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    Enumeration Date     |    02/21/2020
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    Last Update Date     |    02/01/2023
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Provider Practice Location Address
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    Address Line         |    1103 WINDRIM AVE 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19141-2817
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    Country              |    US
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    Telephone            |    215-457-6400
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    Fax                  |    212-457-6500
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Provider Business Mailing Address
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    Address Line         |    1103 WINDRIM AVE 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19141-2817
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    Country              |    US
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    Telephone            |    215-457-6400
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    Fax                  |    215-457-6500
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     KEVICHE  LAWS 
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    Credential           |    RN
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    Telephone            |    215-200-6410
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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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