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NPI 1770394140

NPI 1770394140 : HOSANNA HOME CARE IN NEBRASKA : CRETE, NE

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General NPI Number Information
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    NPI Number           |    1770394140
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOSANNA HOME CARE IN NEBRASKA 
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Dates
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    Enumeration Date     |    01/15/2025
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    Last Update Date     |    02/18/2025
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Provider Practice Location Address
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    Address Line         |    445 E 13TH ST 
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    City                 |    CRETE
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    State                |    NE
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    Zip                  |    68333-2200
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    Country              |    US
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    Telephone            |    402-890-1584
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    Fax                  |    531-291-5043
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Provider Business Mailing Address
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    Address Line         |    445 E 13TH ST 
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    City                 |    CRETE
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    State                |    NE
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    Zip                  |    68333-2200
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    Country              |    US
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    Telephone            |    402-890-1584
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    Fax                  |    531-291-5043
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     ANGELICA MARIA DIAZ 
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    Credential           |    
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    Telephone            |    402-890-1584
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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        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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