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General NPI Number Information
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NPI Number | 1861247496
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Entity Type | Organization
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Legal Business Name | ELITE TRUSTED CARE SERVICES, LLC
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Dates
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Enumeration Date | 04/18/2024
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 531 BOOTH HILL RD
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City | TRUMBULL
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State | CT
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Zip | 06611-4003
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Country | US
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Telephone | 203-962-3709
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Fax |
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Provider Business Mailing Address
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Address Line | 531 BOOTH HILL RD
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City | TRUMBULL
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State | CT
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Zip | 06611-4003
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Country | US
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Telephone | 203-962-3709
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Fax |
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Authorized Official
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Title or Position | RN/CEO
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Name | MR. JEAN RENALD MERINA
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Credential | RN
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Telephone | 203-962-3709
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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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