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General NPI Number Information
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NPI Number | 1881221661
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Entity Type | Organization
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Legal Business Name | LA VITA BELLA HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 1101 GOLF COURSE RD SE STE 102
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City | RIO RANCHO
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State | NM
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Zip | 87124-4732
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Country | US
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Telephone | 505-814-5386
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Fax | 505-346-1570
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Provider Business Mailing Address
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Address Line | 1101 GOLF COURSE RD SE STE 102
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City | RIO RANCHO
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State | NM
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Zip | 87124-4732
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Country | US
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Telephone | 505-239-9146
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Fax | 505-346-1570
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JAHNELLE TAYLOR
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Credential | MSN APRN FNP-C
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Telephone | 505-239-9146
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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 |
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License Number State |
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