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General NPI Number Information
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NPI Number | 1831268184
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Entity Type | Organization
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Legal Business Name | IMANI HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/31/2015
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Provider Practice Location Address
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Address Line | 25988 HIGHLAND ROAD
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143
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Country | US
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Telephone | 216-486-0000
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Fax | 216-486-8281
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Provider Business Mailing Address
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Address Line | 2618 NORTH MORELAND BLVD
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City | CLEVELAND
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State | OH
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Zip | 44120
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Country | US
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Telephone | 216-426-6000
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Fax | 216-426-0735
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NICOLE A STANICH
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Credential |
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Telephone | 216-426-6000
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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 | 1657064
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License Number State | OH
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Taxonomy #2
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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 | OH
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