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General NPI Number Information
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NPI Number | 1699585893
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Entity Type | Organization
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Legal Business Name | CAREFORWARD HOME CARE CT LLC
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 500 W PUTNAM AVE STE 400
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City | GREENWICH
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State | CT
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Zip | 06830-6096
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Country | US
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Telephone | 212-204-3423
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BAKER LN
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City | SUFFERN
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State | NY
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Zip | 10901-2401
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ISAAC RIEDER
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Credential |
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Telephone | 212-204-3423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 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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