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General NPI Number Information
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NPI Number | 1295567436
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Entity Type | Organization
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Legal Business Name | CHRISTIAN HOME HEALTHCARE
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Dates
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Enumeration Date | 08/16/2024
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 680 MOORE RD
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City | AVON LAKE
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State | OH
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Zip | 44012-2344
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Country | US
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Telephone | 440-207-0342
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Fax | 440-445-0568
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Provider Business Mailing Address
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Address Line | 680 MOORE RD
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City | AVON LAKE
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State | OH
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Zip | 44012-2344
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Country | US
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Telephone | 440-207-0342
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Fax | 440-445-0568
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | NAUTICE LUCAS
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Credential |
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Telephone | 412-323-0203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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