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General NPI Number Information
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NPI Number | 1548936156
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Entity Type | Organization
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Legal Business Name | EXPAND HEALTH SKILLED AT HOME LLC
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 397 CHURCHILL HUBBARD RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1375
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Country | US
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Telephone | 330-610-6886
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Fax | 330-441-4096
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Provider Business Mailing Address
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Address Line | 397 CHURCHILL HUBBARD RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1375
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Country | US
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Telephone | 330-610-6886
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Fax |
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Authorized Official
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Title or Position | ADMINISTATOR
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Name | AMANDA L SCENNA
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Credential |
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Telephone | 330-541-6269
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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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