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General NPI Number Information
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NPI Number | 1396116554
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Entity Type | Organization
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Legal Business Name | RED CARPET HOME SERVICES LLC
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 216 RIVER AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4807
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Country | US
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Telephone | 732-858-5400
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Fax | 732-987-3911
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Provider Business Mailing Address
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Address Line | 216 RIVER AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4807
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Country | US
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Telephone | 732-858-5400
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Fax | 732-987-3911
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Authorized Official
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Title or Position | CEO
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Name | MR. ISRAEL SAKS
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Credential |
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Telephone | 732-858-5400
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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 | 1889414
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License Number State | NJ
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