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General NPI Number Information
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NPI Number | 1568328342
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Entity Type | Organization
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Legal Business Name | HOLY HOME CARE AGENCY, LLC
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 3014 S 72ND LN
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City | PHOENIX
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State | AZ
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Zip | 85043-7823
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Country | US
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Telephone | 480-930-9561
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Fax |
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Provider Business Mailing Address
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Address Line | 3014 S 72ND LN
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City | PHOENIX
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State | AZ
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Zip | 85043-7823
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Country | US
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Telephone | 480-930-9561
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH GASANA
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Credential |
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Telephone | 480-930-9561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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