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General NPI Number Information
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NPI Number | 1487113239
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Entity Type | Organization
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Legal Business Name | HOMECENTRIS HOME HEALTH II, LLC
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 10 CROSSROADS DR STE 102
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5459
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Country | US
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Telephone | 410-321-8448
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Fax | 410-494-4918
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Provider Business Mailing Address
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Address Line | 10 CROSSROADS DR STE 102
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5459
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Country | US
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Telephone | 410-486-5330
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Fax | 410-486-8331
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Authorized Official
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Title or Position | CEO
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Name | MATTHEW FRANCIS AUMAN
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Credential |
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Telephone | 410-486-5330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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