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NPI 1679700249

NPI 1679700249 : DADE HOME HEALTH LLC : MIAMI LAKES, FL

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General NPI Number Information
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    NPI Number           |    1679700249
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    Entity Type          |    Organization 
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    Legal Business Name  |    DADE HOME HEALTH LLC 
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Dates
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    Enumeration Date     |    06/22/2009
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    Last Update Date     |    06/18/2020
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Provider Practice Location Address
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    Address Line         |    15450 NEW BARN RD STE 309 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33014-2169
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    Country              |    US
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    Telephone            |    305-860-8200
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    Fax                  |    305-860-8555
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Provider Business Mailing Address
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    Address Line         |    15450 NEW BARN RD STE 309 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33014-2169
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    Country              |    US
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    Telephone            |    305-860-8200
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    Fax                  |    305-860-8555
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JEFF E STONE 
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    Credential           |    
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    Telephone            |    954-610-3796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care 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       |    APPLIED
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    License Number State |    FL
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