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NPI 1285380519

NPI 1285380519 : AMICARE HOME SERVICES, LLC : ORANGE, NJ

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General NPI Number Information
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    NPI Number           |    1285380519
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMICARE HOME SERVICES, LLC 
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Dates
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    Enumeration Date     |    02/24/2022
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    Last Update Date     |    04/29/2025
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Provider Practice Location Address
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    Address Line         |    557 MAIN ST STE 2 
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    City                 |    ORANGE
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    State                |    NJ
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    Zip                  |    07050-1584
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    Country              |    US
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    Telephone            |    908-287-9444
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    Fax                  |    908-417-5020
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Provider Business Mailing Address
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    Address Line         |    557 MAIN ST STE 2 
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    City                 |    ORANGE
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    State                |    NJ
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    Zip                  |    07050-1584
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    Country              |    US
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    Telephone            |    908-287-9444
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    Fax                  |    908-417-5020
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Authorized Official
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    Title or Position    |    FOUNDER, CEO
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    Name                 |     RONALD  TIENORD 
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    Credential           |    
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    Telephone            |    347-339-5444
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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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