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General NPI Number Information
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NPI Number | 1699323220
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Entity Type | Organization
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Legal Business Name | FAMILY HOME HEALTHCARE, INC
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 2975 S RAINBOW BLVD STE A
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City | LAS VEGAS
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State | NV
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Zip | 89146-6597
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Country | US
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Telephone | 702-979-9927
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Fax |
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Provider Business Mailing Address
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Address Line | 2975 S RAINBOW BLVD STE A
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City | LAS VEGAS
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State | NV
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Zip | 89146-6597
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Country | US
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Telephone | 702-979-9927
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GENE JOHN MABASA
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Credential |
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Telephone | 213-570-7160
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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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