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General NPI Number Information
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NPI Number | 1538310818
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Entity Type | Organization
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Legal Business Name | INNOVATIVE SENIOR CARE HOME HEALTH OF LOS ANGELES LLC
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 701 W KIMBERLY AVE STE 190
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City | PLACENTIA
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State | CA
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Zip | 92870-6332
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Country | US
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Telephone | 714-364-6525
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Fax |
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Provider Business Mailing Address
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Address Line | 111 WESTWOOD PL
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City | BRENTWOOD
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State | TN
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Zip | 37027-5021
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Country | US
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Telephone | 615-221-2250
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Fax | 615-221-2280
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Authorized Official
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Title or Position | CFO, HOME HEALTH & HOSPICE
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Name | BRAD PARRISH
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Credential |
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Telephone | 615-344-6955
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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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