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NPI 1598433062

NPI 1598433062 : FREEDOM HOME HEALTH LLC : NAPA, CA

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General NPI Number Information
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    NPI Number           |    1598433062
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    Entity Type          |    Organization 
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    Legal Business Name  |    FREEDOM HOME HEALTH LLC 
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Dates
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    Enumeration Date     |    08/31/2021
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    Last Update Date     |    08/31/2021
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Provider Practice Location Address
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    Address Line         |    2045 JEFFERSON ST STE E 
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    City                 |    NAPA
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    State                |    CA
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    Zip                  |    94559-1245
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    Country              |    US
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    Telephone            |    530-844-2855
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2376 BOGUE RD 
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    City                 |    YUBA CITY
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    State                |    CA
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    Zip                  |    95993-9213
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    Country              |    US
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    Telephone            |    530-844-2855
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     HARSHARAN  BAINS 
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    Credential           |    
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    Telephone            |    530-844-2855
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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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