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General NPI Number Information
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NPI Number | 1538074745
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND HOME HEALTHCARE,LLC
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 1375 VISTA VALLEY DR. UNIT J
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City | DIAMOND BAR
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State | CA
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Zip | 91709
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Country | US
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Telephone | 562-719-5931
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Fax |
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Provider Business Mailing Address
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Address Line | 13307 CARDINAL RIDGE RD UNIT J
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City | CHINO HILLS
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State | CA
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Zip | 91709-1271
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Country | US
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Telephone | 562-719-5931
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | KAMASHA MONIQUE TANNER
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Credential | LVN,DSD
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Telephone | 840-272-9317
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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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