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NPI 1255673968

NPI 1255673968 : ABELE HOME CARE, LLC : LONGMONT, CO

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General NPI Number Information
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    NPI Number           |    1255673968
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABELE HOME CARE, LLC 
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Dates
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    Enumeration Date     |    03/20/2013
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    Last Update Date     |    11/18/2015
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Provider Practice Location Address
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    Address Line         |    601 3RD AVE SUITE 201
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    City                 |    LONGMONT
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    State                |    CO
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    Zip                  |    80501-5943
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    Country              |    US
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    Telephone            |    720-259-1044
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    Fax                  |    720-259-1045
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Provider Business Mailing Address
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    Address Line         |    601 3RD AVE SUITE 201
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    City                 |    LONGMONT
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    State                |    CO
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    Zip                  |    80501-5943
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    Country              |    US
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    Telephone            |    720-259-1044
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    Fax                  |    720-259-1045
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     ELENA  LEVERTOVA 
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    Credential           |    
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    Telephone            |    303-906-9609
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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 |    CO
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