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General NPI Number Information
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NPI Number | 1477417301
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Entity Type | Organization
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Legal Business Name | CAVIAR CARES HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 3980 TAMPA RD STE 101J
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City | OLDSMAR
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State | FL
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Zip | 34677-3223
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Country | US
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Telephone | 727-340-4469
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Fax |
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Provider Business Mailing Address
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Address Line | 3980 TAMPA RD STE 101J
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City | OLDSMAR
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State | FL
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Zip | 34677-3223
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Country | US
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Telephone | 727-340-4469
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELETA PHIPPS-HARRISON
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Credential |
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Telephone | 727-340-4469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 376J00000X
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Taxonomy Name | Homemaker
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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