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General NPI Number Information
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NPI Number | 1508064130
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Entity Type | Organization
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Legal Business Name | AMERICADE HOME HEALTH AGENCY LLC.
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 111 W BEVERLY BLVD STE 224
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City | MONTEBELLO
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State | CA
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Zip | 90640-4320
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Country | US
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Telephone | 323-278-1283
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Fax | 323-728-4263
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Provider Business Mailing Address
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Address Line | 9040 TELSTAR AVE STE 127
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City | EL MONTE
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State | CA
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Zip | 91731-2839
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Country | US
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Telephone | 323-278-1283
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Fax | 323-728-4263
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Authorized Official
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Title or Position | DON
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Name | MRS. MARY L RAMIREZ
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Credential | RN
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Telephone | 323-278-1283
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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 | CA
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