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NPI 1386016558

NPI 1386016558 : HOUSECALL NURSING SERVICES LLC : METHUEN, MA

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General NPI Number Information
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    NPI Number           |    1386016558
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOUSECALL NURSING SERVICES LLC 
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Dates
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    Enumeration Date     |    10/27/2015
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    Last Update Date     |    10/27/2015
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Provider Practice Location Address
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    Address Line         |    171 EAST ST 241D
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    City                 |    METHUEN
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    State                |    MA
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    Zip                  |    01844-5406
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    Country              |    US
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    Telephone            |    253-202-5941
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    171 EAST ST 241D
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    City                 |    METHUEN
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    State                |    MA
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    Zip                  |    01844-5406
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    Country              |    US
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    Telephone            |    253-202-5941
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     MOSES  KAMAU 
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    Credential           |    LPN
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    Telephone            |    253-202-5941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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