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General NPI Number Information
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NPI Number | 1679576607
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Entity Type | Organization
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Legal Business Name | EMERALD HOME HEALTH INC
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 5775 E. LOS ANGELES AVENUE SUITE 232
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City | SIMI VALLEY
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State | CA
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Zip | 93063-5213
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Country | US
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Telephone | 805-864-9311
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Fax | 805-864-9312
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Provider Business Mailing Address
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Address Line | 5775 E LOS ANGELES AVE STE 232
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City | SIMI VALLEY
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State | CA
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Zip | 93063-5215
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Country | US
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Telephone | 805-864-9311
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Fax | 805-864-9312
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Authorized Official
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Title or Position | ADMINISTRATOR/PRESIDENT
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Name | MRS. KRYSTIANNE NIGEL ABRENICA KENNEDY
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Credential | MSN, RN-BC
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Telephone | 805-864-9311
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 980000651
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License Number State | CA
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