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General NPI Number Information
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NPI Number | 1235933995
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Entity Type | Organization
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Legal Business Name | TIMELESS 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 | 11082 JEFF BRIAN LN STE A
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City | WILTON
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State | CA
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Zip | 95693-9514
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Country | US
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Telephone | 916-690-6831
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Fax | 916-937-0252
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Provider Business Mailing Address
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Address Line | 11082 JEFF BRIAN LN STE A
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City | WILTON
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State | CA
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Zip | 95693-9514
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Country | US
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Telephone | 916-690-6831
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Fax | 916-937-0252
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Authorized Official
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Title or Position | CEO
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Name | LAY K SAECHAO
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Credential |
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Telephone | 707-749-1576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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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