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General NPI Number Information
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NPI Number | 1821736372
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Entity Type | Organization
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Legal Business Name | ENTRUSTED HEART HOMECARE LLC
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 385 14TH ST APT 1408
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City | OAKLAND
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State | CA
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Zip | 94612-3862
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Country | US
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Telephone | 334-324-8380
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10943
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City | OAKLAND
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State | CA
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Zip | 94610-0943
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Country | US
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Telephone | 334-324-8380
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | TONI NORMAN
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Credential |
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Telephone | 334-324-8380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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