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General NPI Number Information
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NPI Number | 1306987813
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Entity Type | Organization
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Legal Business Name | MANAGED HOMECARE, INC.
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 4100 LATHAM ST SUITE I
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City | RIVERSIDE
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State | CA
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Zip | 92501-1733
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Country | US
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Telephone | 951-341-0782
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Fax | 951-274-3638
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Provider Business Mailing Address
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Address Line | 17818 BELSHIRE AVE
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City | ARTESIA
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State | CA
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Zip | 90701-4234
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Country | US
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Telephone | 562-676-6108
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Fax | 951-274-3638
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Authorized Official
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Title or Position | OWNER
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Name | PRANAV PATEL
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Credential |
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Telephone | 949-263-4700
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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 | 250000505
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License Number State | CA
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