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General NPI Number Information
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NPI Number | 1780512103
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Entity Type | Organization
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Legal Business Name | COMMITTED HEARTS RESIDENTIAL HOMES, LLC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 600 WAPELLO CIR
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City | SACRAMENTO
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State | CA
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Zip | 95835-1866
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Country | US
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Telephone | 925-470-5010
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Fax |
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Provider Business Mailing Address
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Address Line | 11 DUNFIRTH DR
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City | HAYWARD
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State | CA
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Zip | 94542-7942
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Country | US
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Telephone | 614-975-5257
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. KWAME A FIELDS SR.
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Credential | CISSP
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Telephone | 614-975-5257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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