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NPI 1841006319

NPI 1841006319 : MYCARE HOME HEALTH SERVICES LLC : NORWELL, MA

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General NPI Number Information
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    NPI Number           |    1841006319
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    Entity Type          |    Organization 
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    Legal Business Name  |    MYCARE HOME HEALTH SERVICES LLC 
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Dates
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    Enumeration Date     |    12/09/2024
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    Last Update Date     |    04/09/2025
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Provider Practice Location Address
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    Address Line         |    167 WASHINGTON ST STE 44 
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    City                 |    NORWELL
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    State                |    MA
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    Zip                  |    02061-1797
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    Country              |    US
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    Telephone            |    781-421-6034
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    167 WASHINGTON ST STE 44 
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    City                 |    NORWELL
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    State                |    MA
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    Zip                  |    02061-1797
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    Country              |    US
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    Telephone            |    781-421-6034
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     WOLDY  EXUMA 
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    Credential           |    
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    Telephone            |    781-421-6034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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