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General NPI Number Information
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NPI Number | 1487278537
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Entity Type | Organization
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Legal Business Name | PEAKS OF HOPE HOME HEALTH, LLC
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 1661 COUNTY ROAD 170
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City | WESTCLIFFE
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State | CO
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Zip | 81252-9168
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Country | US
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Telephone | 719-371-0910
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Fax | 888-898-5251
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Provider Business Mailing Address
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Address Line | 1661 COUNTY ROAD 170
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City | WESTCLIFFE
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State | CO
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Zip | 81252-9168
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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/ADMINISTRATOR/RN
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Name | ELISA R LIVENGOOD
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Credential | RN
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Telephone | 719-371-0910
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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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