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General NPI Number Information
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NPI Number | 1548722945
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Entity Type | Organization
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Legal Business Name | I HEART MY HOME HEALTH LLC
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 17215 STUDEBAKER RD STE 180
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City | CERRITOS
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State | CA
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Zip | 90703-2523
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Country | US
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Telephone | 888-294-4182
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Fax | 562-219-0373
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Provider Business Mailing Address
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Address Line | 17215 STUDEBAKER RD STE 180
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City | CERRITOS
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State | CA
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Zip | 90703-2523
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Country | US
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Telephone | 562-275-5802
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Fax |
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Authorized Official
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Title or Position | ADMINSTRATOR/OWNER
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Name | GERALDINE MARIE PRUM
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Credential | RRT
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Telephone | 562-275-5802
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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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