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General NPI Number Information
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NPI Number | 1598968737
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Entity Type | Organization
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Legal Business Name | AMERICARE MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 12440 FIRESTONE BLVD SUITE 307
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City | NORWALK
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State | CA
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Zip | 90650-4328
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Country | US
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Telephone | 562-466-1822
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Fax | 562-466-1824
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Provider Business Mailing Address
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Address Line | 12440 FIRESTONE BLVD SUITE 307
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City | NORWALK
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State | CA
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Zip | 90650-4328
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Country | US
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Telephone | 562-466-1822
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Fax | 562-466-1824
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | YUN JU SHIN
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Credential | RN
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Telephone | 562-466-1822
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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 | 980001565
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License Number State | CA
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