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General NPI Number Information
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NPI Number | 1700304441
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Entity Type | Organization
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Legal Business Name | LHCSA HOME HEALTH HOLDINGS, INC.
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Dates
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Enumeration Date | 09/01/2017
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Last Update Date | 09/01/2017
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Provider Practice Location Address
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Address Line | 329 E 149TH ST FL 3
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City | BRONX
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State | NY
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Zip | 10451-5626
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Country | US
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Telephone | 718-450-8054
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CHALLENGER RD STE 105
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City | RIDGEFIELD PARK
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State | NJ
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Zip | 07660-2121
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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 | CEO
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Name | SIMON SHEMIA
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Credential |
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Telephone | 717-715-8700
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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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