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General NPI Number Information
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NPI Number | 1851276190
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Entity Type | Organization
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Legal Business Name | JBS LOVING HEARTS HOME LLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 4832 S SEDGEWICK RD
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City | LYNDHURST
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State | OH
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Zip | 44124-1109
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Country | US
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Telephone | 216-505-3608
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Fax |
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Provider Business Mailing Address
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Address Line | 4832 S SEDGEWICK RD
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City | LYNDHURST
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State | OH
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Zip | 44124-1109
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Country | US
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Telephone | 216-505-3608
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Fax |
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Authorized Official
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Title or Position | OWNER/DOO
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Name | SHALITA BEATRICE BANKS
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Credential |
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Telephone | 216-505-3608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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