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General NPI Number Information
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NPI Number | 1417765017
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Entity Type | Organization
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Legal Business Name | LOKI HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 12/28/2024
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Last Update Date | 12/28/2024
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Provider Practice Location Address
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Address Line | 3629 FRANKLIN RD SW STE 204
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City | ROANOKE
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State | VA
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Zip | 24014-2217
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Country | US
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Telephone | 540-892-6443
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Fax |
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Provider Business Mailing Address
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Address Line | 3629 FRANKLIN RD SW STE 204
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City | ROANOKE
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State | VA
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Zip | 24014-2217
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Country | US
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Telephone | 540-892-6443
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. NIRAJAN KADARIYA
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Credential |
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Telephone | 540-892-6443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 |
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License Number State |
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Taxonomy #3
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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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