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General NPI Number Information
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NPI Number | 1679464986
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Entity Type | Organization
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Legal Business Name | PRIME HEARTS HOME HEALTH SERVICES, CORP
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 12150 SW 128TH CT STE 206
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City | MIAMI
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State | FL
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Zip | 33186-4667
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Country | US
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Telephone | 786-488-8560
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Fax | 786-305-9157
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Provider Business Mailing Address
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Address Line | 12150 SW 128TH CT STE 206
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City | MIAMI
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State | FL
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Zip | 33186-4667
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Country | US
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Telephone | 786-488-8560
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Fax | 786-305-9157
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. YURI A YON
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Credential |
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Telephone | 786-487-2613
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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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