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General NPI Number Information
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NPI Number | 1780068049
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Entity Type | Organization
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Legal Business Name | SENIORCARE HHA, INC
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 61-61 WOODHAVEN BLVD STE. 1P
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City | REGO PARK
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State | NY
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Zip | 11374
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Country | US
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Telephone | 718-285-0705
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Fax | 718-457-0577
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Provider Business Mailing Address
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Address Line | 61-61 WOODHAVEN BLVD STE. 1P
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City | REGO PARK
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State | NY
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Zip | 11374
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Country | US
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Telephone | 718-285-0705
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Fax | 718-457-0577
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JULIA BORCHAKOVSKAIA
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Credential |
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Telephone | 718-285-0705
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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 | 1888L001
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License Number State | NY
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