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General NPI Number Information
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NPI Number | 1417343435
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Entity Type | Organization
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Legal Business Name | SPIRITUS HOME HEALTHCARE INC
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Dates
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Enumeration Date | 04/07/2015
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 3100 MILDWOOD CT
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City | LANCASTER
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State | CA
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Zip | 93536-4740
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Country | US
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Telephone | 661-579-6898
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Fax | 661-244-0115
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Provider Business Mailing Address
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Address Line | 3100 MILDWOOD CT
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City | LANCASTER
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State | CA
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Zip | 93536-4740
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Country | US
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Telephone | 661-579-6898
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Fax | 661-244-0115
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Authorized Official
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Title or Position | OWNER/VEO
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Name | KENECHUKWU UDOH
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Credential | MD
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Telephone | 661-313-9388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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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 | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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