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General NPI Number Information
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NPI Number | 1629176979
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Entity Type | Organization
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Legal Business Name | LOVING HEARTS HOME CARE, LLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3015 FOREST GROVE AVE LOWER LEVEL
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City | DAYTON
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State | OH
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Zip | 45406-4042
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Country | US
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Telephone | 937-274-2181
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Fax | 937-274-8781
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Provider Business Mailing Address
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Address Line | 3015 FOREST GROVE AVE LOWER LEVEL
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City | DAYTON
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State | OH
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Zip | 45406-4042
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Country | US
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Telephone | 937-274-2181
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Fax | 937-274-8781
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Authorized Official
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Title or Position | OWNER
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Name | MS. JUDITH A JEFFERSON
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Credential |
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Telephone | 937-219-7420
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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 | 1620133
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License Number State | OH
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