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General NPI Number Information
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NPI Number | 1770440448
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Entity Type | Organization
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Legal Business Name | CAVA CARE AT HOME CORP
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 46 BOXWOOD IN
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City | HICKSVILLE
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State | NY
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Zip | 11801
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Country | US
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Telephone | 631-374-6740
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Fax |
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Provider Business Mailing Address
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Address Line | 42 BROADWAY
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City | WEST BABYLON
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State | NY
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Zip | 11704-5408
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Country | US
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Telephone | 516-710-6820
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARMEN CAEZ
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Credential | ADULT CARE HOME
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Telephone | 516-710-6820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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