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General NPI Number Information
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NPI Number | 1558819524
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Entity Type | Organization
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Legal Business Name | HEALTHY AGING HOMECARE, INC.
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Dates
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Enumeration Date | 09/19/2016
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 8914 168TH ST # A102
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City | JAMAICA
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State | NY
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Zip | 11432-4334
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Country | US
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Telephone | 646-744-5934
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Fax | 929-210-7550
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Provider Business Mailing Address
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Address Line | 8914 168TH ST # A102
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City | JAMAICA
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State | NY
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Zip | 11432-4334
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Country | US
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Telephone | 646-744-5934
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MD Z RAHMAN
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Credential |
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Telephone | 646-744-5934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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