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General NPI Number Information
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NPI Number | 1700372224
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Entity Type | Organization
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Legal Business Name | CARDINAL HOME HEALTHCARE GROUP, LLC
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 3165 OAKMAN BOULVARD
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City | DETROIT
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State | MI
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Zip | 48238
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Country | US
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Telephone | 586-203-8118
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Fax |
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Provider Business Mailing Address
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Address Line | 19725 IMPERIAL HWY
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City | REDFORD
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State | MI
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Zip | 48240-1329
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Country | US
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Telephone | 404-435-9460
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MONSENIOR CARDENAS
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Credential |
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Telephone | 586-203-8118
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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 | MI
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