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General NPI Number Information
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NPI Number | 1538429147
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Entity Type | Organization
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Legal Business Name | SANCTUARY HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 454 E MAIN ST STE 215B
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City | COLUMBUS
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State | OH
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Zip | 43215-5380
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Country | US
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Telephone | 614-396-6191
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Fax | 614-737-9585
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Provider Business Mailing Address
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Address Line | 454 E MAIN ST STE 215B
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City | COLUMBUS
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State | OH
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Zip | 43215-5380
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Country | US
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Telephone | 614-396-6191
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Fax | 614-737-9585
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | YASIN BONO
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Credential |
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Telephone | 734-476-7590
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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 | 2104343
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License Number State | OH
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