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NPI 1417865676

NPI 1417865676 : ELLORIA HEALTHCARE LLC : SOMERSET, NJ

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General NPI Number Information
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    NPI Number           |    1417865676
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    Entity Type          |    Organization 
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    Legal Business Name  |    ELLORIA HEALTHCARE LLC 
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Dates
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    Enumeration Date     |    08/31/2026
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    Last Update Date     |    08/31/2026
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Provider Practice Location Address
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    Address Line         |    311 COMMONS WAY # 311 
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    City                 |    SOMERSET
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    State                |    NJ
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    Zip                  |    08873-4693
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    Country              |    US
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    Telephone            |    973-393-4513
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    Fax                  |    973-393-4513
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Provider Business Mailing Address
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    Address Line         |    384 AMWELL RD UNIT 413 
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    City                 |    HILLSBOROUGH
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    State                |    NJ
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    Zip                  |    08844-1279
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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    |    OWNER
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    Name                 |    MS. FEYISAYO ADEOLA PHILLIPS 
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    Credential           |    RN
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    Telephone            |    973-393-4513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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