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General NPI Number Information
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NPI Number | 1427644665
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Entity Type | Organization
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Legal Business Name | PRASADS CARE HOME LLC
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Dates
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Enumeration Date | 12/11/2020
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 4250 ARCHEAN WAY
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City | SACRAMENTO
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State | CA
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Zip | 95823-4014
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Country | US
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Telephone | 916-583-1791
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Fax | 916-701-5189
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Provider Business Mailing Address
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Address Line | 4250 ARCHEAN WAY
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City | SACRAMENTO
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State | CA
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Zip | 95823-4014
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Country | US
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Telephone | 916-583-1791
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Fax | 916-701-5189
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Authorized Official
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Title or Position | ADMINISTRATOR/LICENSEE
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Name | SANJEETA DEVI PRASAD
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Credential |
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Telephone | 191-658-3179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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