{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "ENOX HOME HEALTH LLC",
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"Credential": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "5706 TURNEY RD STE 20231",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GARFIELD HEIGHTS",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44125-3971",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "216-343-8300",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4861 W 12TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CLEVELAND",
"PracticeLocationAddressStateName": "OH",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "216-374-8534",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/09/2025",
"LastUpdateDate": "04/09/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BETANCOURT",
"AuthorizedOfficialFirstName": "EDGAR",
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"AuthorizedOfficialTitle": "CEO",
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"AuthorizedOfficialNameSuffix": "SR.",
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"AuthorizedOfficialTelephoneNumber": "216-343-8300",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}