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General NPI Number Information
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NPI Number | 1811074362
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Entity Type | Organization
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Legal Business Name | TREMONT COMMUNITY COUNCIL HOME ATTENDANT PROGRAM, INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1200 WATERS PL SUITE 106
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City | BRONX
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State | NY
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Zip | 10461-2728
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Country | US
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Telephone | 718-239-0608
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Fax | 718-239-1323
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Provider Business Mailing Address
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Address Line | 1200 WATERS PL SUITE 106
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City | BRONX
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State | NY
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Zip | 10461-2728
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Country | US
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Telephone | 718-239-0608
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Fax | 718-239-1323
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MR. O'DELL HOLLAND
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Credential |
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Telephone | 718-239-0608
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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 | 9626L001
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 9626L001
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License Number State | NY
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