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General NPI Number Information
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NPI Number | 1376254219
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Entity Type | Organization
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Legal Business Name | ROSE VILLA HOME HEALTH, INC
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Dates
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Enumeration Date | 12/12/2022
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 9700 RESEDA BLVD STE 209
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City | NORTHRIDGE
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State | CA
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Zip | 91324-5506
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Country | US
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Telephone | 818-643-5060
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Fax |
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Provider Business Mailing Address
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Address Line | 9700 RESEDA BLVD STE 209
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City | NORTHRIDGE
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State | CA
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Zip | 91324-5506
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Country | US
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Telephone | 818-659-6548
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Fax | 818-279-2377
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Authorized Official
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Title or Position | A/O
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Name | VILLA INC
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Credential |
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Telephone | 818-659-6548
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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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