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General NPI Number Information
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NPI Number | 1811711617
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Entity Type | Organization
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Legal Business Name | HOLY SPRINGS HOME HEALTH LLC
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Dates
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Enumeration Date | 11/09/2024
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 50 W MAIN AVE STE D
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City | MORGAN HILL
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State | CA
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Zip | 95037-4567
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Country | US
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Telephone | 408-638-5770
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Fax |
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Provider Business Mailing Address
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Address Line | 50 W MAIN AVE
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City | MORGAN HILL
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State | CA
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Zip | 95037-4574
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Country | US
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Telephone | 669-286-9631
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Fax | 408-608-0441
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | VERANOEL T ENDAH
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Credential | RN
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Telephone | 669-286-9631
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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 |
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License Number State |
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