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General NPI Number Information
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NPI Number | 1598805558
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Entity Type | Organization
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Legal Business Name | HOME CARE OF AMERICA, INC.
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | 31201 S. CHICAGO RD. SUITEB202
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City | WARREN
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State | MI
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Zip | 48093-5527
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Country | US
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Telephone | 586-438-2100
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Fax | 586-582-1369
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Provider Business Mailing Address
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Address Line | 31201 S. CHICAGO RD. SUITEB202
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City | WARREN
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State | MI
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Zip | 48093-5527
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Country | US
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Telephone | 586-438-2100
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Fax | 586-582-1369
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | JOSE MANUEL
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Credential |
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Telephone | 586-438-2100
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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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