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General NPI Number Information
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NPI Number | 1225649460
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Entity Type | Organization
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Legal Business Name | QUALITY CARE HOME HEALTHCARE COMPANY LLC
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Dates
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Enumeration Date | 08/12/2020
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 163 HAMPTON POINT DR STE 3
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City | ST AUGUSTINE
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State | FL
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Zip | 32092-3060
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Country | US
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Telephone | 904-679-3632
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Fax | 904-460-2802
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Provider Business Mailing Address
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Address Line | 4009 LONICERA LOOP
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City | ST JOHNS
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State | FL
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Zip | 32259-4532
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Country | US
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Telephone | 904-679-3632
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Fax | 904-460-2802
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NKWENTI NDE
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Credential |
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Telephone | 352-219-7115
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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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