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General NPI Number Information
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NPI Number | 1598117715
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Entity Type | Organization
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Legal Business Name | AT HOME CARE, INC.
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 143 LAKESIDE BLVD STE 8
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City | LANDING
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State | NJ
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Zip | 07850-1123
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Country | US
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Telephone | 973-512-5131
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Fax | 973-810-2245
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Provider Business Mailing Address
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Address Line | 143 LAKESIDE BLVD STE 8
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City | LANDING
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State | NJ
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Zip | 07850-1123
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Country | US
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Telephone | 973-512-5131
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Fax | 973-810-2245
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JILL MALANGA
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Credential |
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Telephone | 201-230-3379
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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 | HP0168700
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License Number State | NJ
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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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