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General NPI Number Information
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NPI Number | 1306657226
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Entity Type | Organization
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Legal Business Name | MOMENTUM HOME CARE SERVICES CORP
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 7789 NW 146TH ST
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1567
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Country | US
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Telephone | 954-355-2668
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Fax |
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Provider Business Mailing Address
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Address Line | 17720 SW 70TH PL
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City | SOUTHWEST RANCHES
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State | FL
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Zip | 33331-1913
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Country | US
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Telephone | 954-355-2668
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | AMARILYS PARRADO
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Credential | BSN, RN
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Telephone | 954-355-2668
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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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