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General NPI Number Information
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NPI Number | 1750107363
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Entity Type | Organization
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Legal Business Name | JAMALCA HOME CARE LLC
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 8825 153RD ST APT 3J
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City | JAMAICA
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State | NY
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Zip | 11432-3752
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Country | US
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Telephone | 347-684-7027
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Fax |
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Provider Business Mailing Address
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Address Line | 8825 153RD ST APT 3J
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City | JAMAICA
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State | NY
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Zip | 11432-3752
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Country | US
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Telephone | 347-684-7027
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LAVERN MARIA THOMAS- MCKAY
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Credential |
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Telephone | 347-310-5336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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