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General NPI Number Information
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NPI Number | 1285502575
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Entity Type | Organization
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Legal Business Name | STRIVARA HOME CARE LLC
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 17325 EUCLID AVE STE 2025
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City | CLEVELAND
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State | OH
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Zip | 44112-1247
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Country | US
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Telephone | 440-622-7644
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Fax |
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Provider Business Mailing Address
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Address Line | 17325 EUCLID AVE STE 2025
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City | CLEVELAND
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State | OH
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Zip | 44112-1247
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Country | US
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Telephone | 440-622-7644
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Fax |
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Authorized Official
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Title or Position | OWNER/RN
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Name | KASHARA A JACOBS
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Credential | RN
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Telephone | 440-622-7644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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