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General NPI Number Information
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NPI Number | 1750354619
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Entity Type | Organization
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Legal Business Name | REGIONCARE INC.
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 711 STEWART AVE STE 145
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City | GARDEN CITY
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State | NY
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Zip | 11530-4757
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Country | US
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Telephone | 516-266-5200
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Fax | 516-266-5299
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Provider Business Mailing Address
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Address Line | 200 COMMUNITY DR
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City | GREAT NECK
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State | NY
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Zip | 11021-5510
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Country | US
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Telephone | 516-414-3900
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Fax | 516-414-3946
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT & CFO
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Name | MRS. MICHELE L CUSACK
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Credential |
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Telephone | 516-321-6058
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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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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0861L003
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License Number State | NY
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