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General NPI Number Information
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NPI Number | 1760191357
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Entity Type | Organization
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Legal Business Name | AMERICARE BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 599 CANAL ST FL 6W
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City | LAWRENCE
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State | MA
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Zip | 01840-1244
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Country | US
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Telephone | 978-319-6091
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Fax | 617-618-3350
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Provider Business Mailing Address
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Address Line | 599 CANAL ST FL 6W
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City | LAWRENCE
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State | MA
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Zip | 01840-1244
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Country | US
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Telephone | 978-319-6091
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Fax | 617-618-3350
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MATHEW KIIO
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Credential | DNP
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Telephone | 978-319-6091
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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