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General NPI Number Information
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NPI Number | 1639100381
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Entity Type | Organization
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Legal Business Name | ST. JOHN HOME HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2500 E. FOOTHILL BLVD. SUITE 102
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City | PASADENA
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State | CA
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Zip | 91107
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Country | US
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Telephone | 626-795-3429
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 E. FOOTHILL BLVD. SUITE 102
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City | PASADENA
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State | CA
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Zip | 91107
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Country | US
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Telephone | 626-795-3429
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Fax |
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Authorized Official
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Title or Position | CFO/OFFICE MANAGER
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Name | MISS JESSICA R. OLLET
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Credential |
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Telephone | 626-795-3429
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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 | CA
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