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General NPI Number Information
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NPI Number | 1659018174
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Entity Type | Organization
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Legal Business Name | CH HOMECARE AGENCY LLC
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Dates
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Enumeration Date | 05/16/2022
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 303 DYER ST
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City | NEW HAVEN
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State | CT
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Zip | 06515-1333
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Country | US
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Telephone | 203-887-0258
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Fax |
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Provider Business Mailing Address
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Address Line | 303 DYER ST
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City | NEW HAVEN
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State | CT
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Zip | 06515-1333
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Country | US
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Telephone | 203-887-0258
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE HENRY
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Credential | OWNER
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Telephone | 203-887-0258
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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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