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General NPI Number Information
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NPI Number | 1811192230
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Entity Type | Organization
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Legal Business Name | JC HOME HEALTHCARE, INC
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Dates
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Enumeration Date | 06/16/2007
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Last Update Date | 09/26/2013
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Provider Practice Location Address
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Address Line | 18 LOCKWOOD DR # 47
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City | ROSELLE
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State | NJ
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Zip | 07203-3065
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Country | US
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Telephone | 908-486-2662
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Fax |
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Provider Business Mailing Address
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Address Line | 18 LOCKWOOD DR # 47
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City | ROSELLE
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State | NJ
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Zip | 07203-3065
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Country | US
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Telephone | 908-486-2662
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILSON REYES
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Credential |
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Telephone | 908-486-2662
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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 | HP0050400
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License Number State | NJ
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