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General NPI Number Information
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NPI Number | 1205541026
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Entity Type | Organization
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Legal Business Name | XPRESS HOMECARE AND HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 25701 N LAKELAND BLVD STE 103
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City | EUCLID
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State | OH
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Zip | 44132-2436
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Country | US
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Telephone | 216-303-0966
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Fax |
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Provider Business Mailing Address
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Address Line | 25101 N LAKELAND BLVD UNIT 23223
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City | EUCLID
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State | OH
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Zip | 44123-9525
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANEESAH LEWIS
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Credential | LPN
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Telephone | 216-303-0966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral 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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 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 #4
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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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