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General NPI Number Information
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NPI Number | 1881875367
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Entity Type | Organization
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Legal Business Name | ST. LUKE'S HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 6850 LINCOLN AVE STE 202
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City | BUENA PARK
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State | CA
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Zip | 90620-4188
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Country | US
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Telephone | 714-484-4628
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Fax | 714-484-0965
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Provider Business Mailing Address
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Address Line | 6850 LINCOLN AVE STE 202
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City | BUENA PARK
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State | CA
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Zip | 90620-4188
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Country | US
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Telephone | 714-484-4628
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Fax | 714-484-0965
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ROLANDO ABRINA
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Credential | RN
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Telephone | 714-484-4628
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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 | 550000459
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License Number State | CA
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