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General NPI Number Information
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NPI Number | 1609039205
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Entity Type | Organization
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Legal Business Name | OCHA HOME HEALTH SERVICES CORP
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 2460 SW 137TH AVE STE 241
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City | MIAMI
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State | FL
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Zip | 33175-6399
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Country | US
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Telephone | 786-866-5904
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Fax | 786-472-1866
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Provider Business Mailing Address
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Address Line | 2460 SW 137TH AVE STE 241
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City | MIAMI
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State | FL
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Zip | 33175-6399
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Country | US
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Telephone | 786-866-5904
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Fax | 786-472-1866
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Authorized Official
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Title or Position | ADMIN
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Name | MRS. ADIS D PEREZ
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Credential | RN
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Telephone | 786-866-5904
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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 | 19965939
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License Number State | FL
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