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General NPI Number Information
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NPI Number | 1265976989
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Entity Type | Organization
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Legal Business Name | REDEEMING HEARTS HOME CARE AGENCY, LLC
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Dates
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Enumeration Date | 12/14/2016
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 3223 W LLOYD ST
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City | MILWAUKEE
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State | WI
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Zip | 53208
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Country | US
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Telephone | 414-323-4243
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Fax | 414-323-4243
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Provider Business Mailing Address
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Address Line | 3223 W LLOYD ST
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City | MILWAUKEE
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State | WI
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Zip | 53208-1439
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Country | US
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Telephone | 414-323-4243
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Fax | 414-323-4049
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BARBARA ANDERSON
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Credential |
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Telephone | 414-323-4243
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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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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 100064736
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License Number State | WI
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