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General NPI Number Information
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NPI Number | 1205624046
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Entity Type | Organization
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Legal Business Name | HOLY TRINITY HOME CARE AGENCY
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 35 ARMSTRONG AVE
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City | SOUTH RIVER
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State | NJ
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Zip | 08882-1715
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Country | US
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Telephone | 732-444-8292
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Fax |
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Provider Business Mailing Address
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Address Line | 35 ARMSTRONG AVE
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City | SOUTH RIVER
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State | NJ
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Zip | 08882-1715
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Country | US
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Telephone | 732-444-8292
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADELINE RODRIGUEZ
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Credential | LPN
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Telephone | 732-444-8292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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