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General NPI Number Information
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NPI Number | 1780928929
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Entity Type | Organization
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Legal Business Name | 1ST ACCREDITED HOME CARE LLC
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Dates
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Enumeration Date | 11/11/2012
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 2332 SW 67TH AVE
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City | MIAMI
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State | FL
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Zip | 33155-1846
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Country | US
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Telephone | 786-502-8188
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Fax | 786-502-8027
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Provider Business Mailing Address
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Address Line | 2332 SW 67TH AVE
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City | MIAMI
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State | FL
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Zip | 33155-1846
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Country | US
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Telephone | 786-502-8188
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Fax | 786-502-8027
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Authorized Official
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Title or Position | ALTERNATE ADMINISTRATOR/OWNER
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Name | ISABEL CHRISTINA LLANES
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Credential |
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Telephone | 786-470-6223
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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 | HOME HEALTH
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 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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