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NPI 1376076661

NPI 1376076661 : COMPETENT HEARTS HOME CARE AGENCY LLC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1376076661
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPETENT HEARTS HOME CARE AGENCY LLC 
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Dates
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    Enumeration Date     |    04/04/2017
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    Last Update Date     |    04/04/2017
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Provider Practice Location Address
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    Address Line         |    4907 N 9TH ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19141-3925
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    Country              |    US
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    Telephone            |    267-276-5925
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4907 N 9TH ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19141-3925
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    Country              |    US
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    Telephone            |    267-276-5925
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     CAMILE ANEFIA COUVERTIER 
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    Credential           |    
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    Telephone            |    347-614-7014
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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       |    32523601
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    License Number State |    PA
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