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General NPI Number Information
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NPI Number | 1871312769
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Entity Type | Organization
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Legal Business Name | HOME SURE HOME CARE LLC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 37 EASTON AVE # 200
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1830
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Country | US
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Telephone | 732-325-4348
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Fax | 732-844-3610
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Provider Business Mailing Address
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Address Line | 99 WINDING WOOD DR APT 5B
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City | SAYREVILLE
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State | NJ
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Zip | 08872-2068
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Country | US
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Telephone | 848-319-0900
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MATA SHERIFF
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Credential | CHHA/SOCIAL WORKER
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Telephone | 848-319-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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