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General NPI Number Information
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NPI Number | 1386862944
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Entity Type | Organization
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Legal Business Name | LGA HOME HEALTH, INC.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 1433 W MERCED AVE STE 324
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City | WEST COVINA
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State | CA
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Zip | 91790-3419
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Country | US
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Telephone | 818-244-7626
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Fax | 818-245-1699
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Provider Business Mailing Address
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Address Line | 1433 W MERCED AVE STE 324
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City | WEST COVINA
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State | CA
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Zip | 91790-3419
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Country | US
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Telephone | 818-244-7626
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Fax | 818-245-1699
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Authorized Official
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Title or Position | OFFICER
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Name | ROWENA ELEGADO
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Credential |
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Telephone | 818-244-7626
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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 | 550000836
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License Number State | CA
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