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General NPI Number Information
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NPI Number | 1215146006
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Entity Type | Organization
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Legal Business Name | ADVANCED CARE HOME HEALTH LTD.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 260 NORTHLAND BLVD STE 225
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City | CINCINNATI
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State | OH
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Zip | 45246-4920
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Country | US
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Telephone | 513-771-1043
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Fax | 513-771-1070
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Provider Business Mailing Address
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Address Line | 11957 WINSTON CIR
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City | CINCINNATI
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State | OH
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Zip | 45240-1545
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Country | US
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Telephone | 513-771-1043
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Fax | 513-771-1070
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Authorized Official
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Title or Position | ADMINISTRATOR, DIRECTOR OF NURSING
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Name | MRS. KIMBERLY HAUGABOOK
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Credential | RN,BSN
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Telephone | 513-515-1554
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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 | RN.309417
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License Number State | OH
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