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General NPI Number Information
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NPI Number | 1649554163
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Entity Type | Organization
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Legal Business Name | NOVA VITA HOME HEALTH SERVICES CORP.
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Dates
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Enumeration Date | 10/03/2011
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 2523 MONTECITO AVE
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-5140
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Country | US
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Telephone | 818-425-0775
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Fax |
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Provider Business Mailing Address
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Address Line | 2523 MONTECITO AVE
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-5140
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Country | US
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Telephone | 818-425-0775
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RIMA BERENGUT
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Credential | R.N.
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Telephone | 818-425-0775
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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 |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 50309
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License Number State | CA
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