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General NPI Number Information
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NPI Number | 1306571328
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Entity Type | Organization
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Legal Business Name | COLLIER HEALTH HOME CARE AGENCY LLC
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Dates
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Enumeration Date | 07/22/2022
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 4997 TAMIAMI TRL E
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City | NAPLES
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State | FL
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Zip | 34113-4131
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Country | US
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Telephone | 954-548-6714
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Fax |
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Provider Business Mailing Address
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Address Line | 4997 TAMIAMI TRL E
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City | NAPLES
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State | FL
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Zip | 34113-4131
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Country | US
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Telephone | 954-548-6714
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT/ADMINISTRATOR
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Name | URSULE THAMARA TANIS
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Credential |
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Telephone | 239-601-7326
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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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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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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