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General NPI Number Information
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NPI Number | 1265487615
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Entity Type | Organization
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Legal Business Name | VISTACARE USA, INC.
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25 WHITNEY DR SUITE 102
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City | MILFORD
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State | OH
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Zip | 45150-8402
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Country | US
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Telephone | 513-831-5800
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Fax | 513-831-5159
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Provider Business Mailing Address
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Address Line | 4800 N SCOTTSDALE RD SUITE 5000
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7630
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Country | US
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Telephone | 480-648-4545
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Fax | 480-648-4550
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. RICHARD R SLAGER
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Credential |
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Telephone | 480-648-4545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 0065-HSP
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License Number State | OH
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