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General NPI Number Information
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NPI Number | 1578341525
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Entity Type | Organization
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Legal Business Name | CAREGUARDIANS HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 3618 BRACKNELL DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-7467
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Country | US
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Telephone | 804-714-8547
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Fax |
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Provider Business Mailing Address
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Address Line | 3618 BRACKNELL DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-7467
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Country | US
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Telephone | 804-714-8547
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | AYEDA AMAN
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Credential | RN
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Telephone | 703-220-2292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 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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Taxonomy #4
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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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Taxonomy #5
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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 #6
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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 #7
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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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