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General NPI Number Information
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NPI Number | 1508881913
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Entity Type | Organization
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Legal Business Name | OMNICARE HOME HEALTHCARE AGENCY, LLC
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 23611 CHAGRIN BLVD STE 120
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City | BEACHWOOD
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State | OH
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Zip | 44122-5540
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Country | US
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Telephone | 216-292-6352
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Fax | 330-748-4660
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Provider Business Mailing Address
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Address Line | 1148 MORNING GLORY DR
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City | MACEDONIA
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State | OH
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Zip | 44056-4305
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Country | US
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Telephone | 330-459-0398
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Fax | 330-748-4660
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MR. CHRISTIAN N OCHEI
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Credential |
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Telephone | 330-459-0398
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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 | OH
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