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General NPI Number Information
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NPI Number | 1760240956
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Entity Type | Organization
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Legal Business Name | GRANDEUR HOME HEALTH LLC
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 1025 23RD ST S STE 389
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City | BIRMINGHAM
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State | AL
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Zip | 35205-2499
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Country | US
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Telephone | 659-895-2865
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 23RD ST S STE 389
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City | BIRMINGHAM
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State | AL
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Zip | 35205-2499
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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 | CEO
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Name | ROYNEISHA L COOK
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Credential |
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Telephone | 205-212-1036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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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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