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General NPI Number Information
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NPI Number | 1699557983
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Entity Type | Organization
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Legal Business Name | LUCKEY QUALITY HOME CARE LLC
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 301 MALL OFFICE COMPLEX
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City | MONROEVILLE
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State | PA
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Zip | 15146-2244
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Country | US
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Telephone | 412-229-8508
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Fax |
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Provider Business Mailing Address
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Address Line | 144 MONROEVILLE MALL
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City | MONROEVILLE
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State | PA
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Zip | 15146-2225
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Country | US
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Telephone | 412-229-8508
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. JAMES THOMAS LUCKEY III
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Credential |
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Telephone | 412-229-8508
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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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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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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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