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General NPI Number Information
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NPI Number | 1730627050
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Entity Type | Organization
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Legal Business Name | INTEGRATED ELDER CARE INC.
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 217 N GROVE ST
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City | REDLANDS
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State | CA
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Zip | 92374-6000
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Country | US
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Telephone | 909-801-1911
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Fax | 909-557-8717
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Provider Business Mailing Address
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Address Line | 217 N GROVE ST
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City | REDLANDS
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State | CA
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Zip | 92374-6000
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Country | US
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Telephone | 909-809-8570
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. RAMON ACERETO
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Credential |
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Telephone | 909-809-8570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 366426701
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State | CA
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Taxonomy #10
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | CA
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