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General NPI Number Information
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NPI Number | 1639656069
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Entity Type | Organization
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Legal Business Name | QUALYCARE HOME CARE LLC
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 860 MELROSE AVE
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City | BRONX
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State | NY
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Zip | 10451-5757
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Country | US
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Telephone | 646-285-3836
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Fax |
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Provider Business Mailing Address
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Address Line | 860 MELROSE AVE
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City | BRONX
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State | NY
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Zip | 10451-5757
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Country | US
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Telephone | 347-778-5250
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SAMUEL ANSAH
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Credential |
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Telephone | 646-285-3836
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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 | 2485L001
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License Number State | NY
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