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General NPI Number Information
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NPI Number | 1699497867
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Entity Type | Organization
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Legal Business Name | BRAVO'S HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 4099 WILLIAM PENN HWY
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City | MONROEVILLE
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State | PA
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Zip | 15146-2521
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Country | US
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Telephone | 254-535-1934
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Fax |
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Provider Business Mailing Address
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Address Line | 4099 WILLIAM PENN HWY
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City | MONROEVILLE
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State | PA
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Zip | 15146-2521
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Country | US
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Telephone | 254-535-1934
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JULIEN NIYOGUSHIMA
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Credential | NON MEDICAL HOME CAR
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Telephone | 254-535-1934
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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 |
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License Number State |
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