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General NPI Number Information
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NPI Number | 1235933136
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Entity Type | Organization
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Legal Business Name | COSMIC HOME CARE LLC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 1874 MARLTON PIKE E STE 7
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2039
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Country | US
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Telephone | 856-537-9003
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 OLD BLACK HORSE PIKE APT L9
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City | BLACKWOOD
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State | NJ
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Zip | 08012-4932
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Country | US
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Telephone | 856-536-7575
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Fax |
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Authorized Official
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Title or Position | RN
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Name | SARDIA CASSELL
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Credential | RN
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Telephone | 856-536-7575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 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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