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General NPI Number Information
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NPI Number | 1619720869
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Entity Type | Organization
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Legal Business Name | ARIA ROSE HOME CARE
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 15260 VENTURA BLVD STE 1200
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-5347
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Country | US
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Telephone | 818-856-7743
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Fax |
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Provider Business Mailing Address
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Address Line | 18325 SHERMAN WAY STE A
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City | RESEDA
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State | CA
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Zip | 91335-4425
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Country | US
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Telephone | 818-510-0102
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEANETTE CHRISTINE CHAVEZ
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Credential |
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Telephone | 818-510-0102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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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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