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General NPI Number Information
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NPI Number | 1396558276
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Entity Type | Organization
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Legal Business Name | HOME ROOTS HEALTH CARE, INC.
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 6110 MAYFIELD RD UPPR
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-3207
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Country | US
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Telephone | 330-990-0960
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Fax |
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Provider Business Mailing Address
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Address Line | 5437 MAHONING AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-2437
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | SASI KAZA
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Credential |
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Telephone | 330-990-0960
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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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