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General NPI Number Information
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NPI Number | 1275346124
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Entity Type | Organization
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Legal Business Name | A HOPEFUL HOME LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 18444 N 25TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85023-1261
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Country | US
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Telephone | 480-604-4859
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 N SCOTTSDALE RD # 776
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-2115
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TISHA GREEN
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Credential |
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Telephone | 480-702-6945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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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 | 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 #3
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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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