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General NPI Number Information
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NPI Number | 1417108655
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Entity Type | Organization
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Legal Business Name | ALTUS HEALTH INC.
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Dates
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Enumeration Date | 10/07/2008
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 151 N SUNRISE AVE STE 1011
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City | ROSEVILLE
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State | CA
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Zip | 95661-2930
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Country | US
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Telephone | 916-781-6500
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Fax | 916-781-6568
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Provider Business Mailing Address
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Address Line | 151 N SUNRISE AVE STE 1011
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City | ROSEVILLE
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State | CA
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Zip | 95661-2930
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Country | US
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Telephone | 916-781-6500
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Fax | 916-781-6568
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. E. IGNACIO CESPEDES
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Credential |
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Telephone | 916-781-6500
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 036638
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License Number State | CA
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