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General NPI Number Information
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NPI Number | 1902472343
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Entity Type | Organization
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Legal Business Name | 8 PESACH HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 195 WILMOT RD
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City | MAMARONECK
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State | NY
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Zip | 10804
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Country | US
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Telephone | 914-426-2285
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 WEST BOSTON POST ROAD
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City | MAMARONECK
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State | NY
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Zip | 10543
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Country | US
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Telephone | 914-426-2285
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GILDA ANDERSON
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Credential |
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Telephone | 914-426-2285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 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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Taxonomy #3
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #5
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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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