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General NPI Number Information
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NPI Number | 1659233013
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Entity Type | Organization
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Legal Business Name | COMPLETE VNA CARE, INC.
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 287 GROVE ST STE 254 BLDG D, SUITE 254
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City | WORCESTER
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State | MA
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Zip | 01605-3905
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Country | US
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Telephone | 774-200-4468
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Fax |
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Provider Business Mailing Address
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Address Line | 287 GROVE ST STE 254
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City | WORCESTER
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State | MA
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Zip | 01605-3905
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Country | US
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Telephone | 774-200-4468
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SHAVONNE YOHO
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Credential | RN
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Telephone | 774-200-4468
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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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