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NPI 1366278467

NPI 1366278467 : FORRESTER HOMECARE, LLC : FT LAUDERDALE, FL

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General NPI Number Information
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    NPI Number           |    1366278467
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    Entity Type          |    Organization 
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    Legal Business Name  |    FORRESTER HOMECARE, LLC 
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Dates
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    Enumeration Date     |    09/13/2024
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    Last Update Date     |    06/03/2025
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Provider Practice Location Address
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    Address Line         |    110 E BROWARD BLVD STE 1700 
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    City                 |    FT LAUDERDALE
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    State                |    FL
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    Zip                  |    33301-3500
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    Country              |    US
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    Telephone            |    954-869-7950
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    Fax                  |    888-338-8437
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Provider Business Mailing Address
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    Address Line         |    110 E BROWARD BLVD STE 1700 
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    City                 |    FT LAUDERDALE
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    State                |    FL
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    Zip                  |    33301-3500
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    Country              |    US
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    Telephone            |    954-869-7950
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    Fax                  |    888-338-8437
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MS. GACIA  WEISE 
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    Credential           |    RN
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    Telephone            |    786-222-9525
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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 |    NULL
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Taxonomy #2
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    Taxonomy Code        |    376K00000X
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    Taxonomy Name        |    Nurse's Aide
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #3
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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 |    NULL
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