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General NPI Number Information
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NPI Number | 1225419435
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Entity Type | Organization
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Legal Business Name | SACRED HEART CARE INC.
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 5328 TROUBLE CREEK RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-5122
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Country | US
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Telephone | 813-280-4838
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Fax | 813-867-7079
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Provider Business Mailing Address
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Address Line | 5328 TROUBLE CREEK RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-5122
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Country | US
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Telephone | 813-280-4838
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Fax | 813-867-7079
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Authorized Official
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Title or Position | PRESIDENT & OWNER
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Name | MR. VIVAKE ABRAHAM
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Credential |
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Telephone | 813-280-4838
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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 | 299994377
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License Number State | FL
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