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General NPI Number Information
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NPI Number | 1548803232
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Entity Type | Organization
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Legal Business Name | A.M. HOME CARE, INC.
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Dates
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Enumeration Date | 10/24/2019
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 3134 EAGLE TALON ST
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City | WOODBRIDGE
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State | VA
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Zip | 22191-6509
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Country | US
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Telephone | 703-231-7468
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Fax | 571-660-1460
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Provider Business Mailing Address
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Address Line | 3134 EAGLE TALON ST
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City | WOODBRIDGE
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State | VA
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Zip | 22191-6509
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Country | US
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Telephone | 703-231-7468
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Fax | 571-660-1460
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GERIOLD MALDONADO
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Credential |
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Telephone | 703-231-7468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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