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NPI 1730984295

NPI 1730984295 : ACCENTCARE HOSPICE & PALLIATIVE CARE OF THE TREASURE COAST, LLC : PORT ST LUCIE, FL

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General NPI Number Information
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    NPI Number           |    1730984295
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACCENTCARE HOSPICE & PALLIATIVE CARE OF THE TREASURE COAST, LLC 
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Dates
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    Enumeration Date     |    02/18/2025
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    Last Update Date     |    07/11/2025
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Provider Practice Location Address
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    Address Line         |    561 NW LAKE WHITNEY PL STE 105 
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    City                 |    PORT ST LUCIE
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    State                |    FL
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    Zip                  |    34986-1624
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    Country              |    US
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    Telephone            |    --
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6400 SHAFER CT STE 300A 
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    City                 |    ROSEMONT
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    State                |    IL
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    Zip                  |    60018-4914
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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    |    AUTHORIZED OFFICIAL
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    Name                 |     HEATHER  SISCEL 
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    Credential           |    
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    Telephone            |    --
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |    
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