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General NPI Number Information
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NPI Number | 1528854932
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Entity Type | Organization
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Legal Business Name | SHEA HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 9330 W LINCOLN AVE # 22A
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City | WEST ALLIS
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State | WI
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Zip | 53227-2300
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Country | US
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Telephone | 414-635-0009
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Fax |
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Provider Business Mailing Address
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Address Line | 9330 W LINCOLN AVE # 22A
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City | WEST ALLIS
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State | WI
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Zip | 53227-2300
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Country | US
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Telephone | 414-635-0009
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMEIKA ROBINSON
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Credential | RN BSW
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Telephone | 414-803-7942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 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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