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General NPI Number Information
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NPI Number | 1689469827
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Entity Type | Organization
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Legal Business Name | ENOX HOME HEALTH LLC
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 4861 W 12TH ST
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City | CLEVELAND
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State | OH
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Zip | 44109-5610
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Country | US
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Telephone | 216-374-8534
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Fax |
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Provider Business Mailing Address
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Address Line | 5706 TURNEY RD STE 20231
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-3971
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Country | US
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Telephone | 216-343-8300
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EDGAR BETANCOURT SR.
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Credential |
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Telephone | 216-343-8300
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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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