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General NPI Number Information
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NPI Number | 1922195197
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Entity Type | Organization
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Legal Business Name | COMPLETE HOME AIDE SERVICES
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1169 KENNEDY BLVD
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City | BAYONNE
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State | NJ
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Zip | 07002-3132
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Country | US
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Telephone | 201-339-3506
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Fax | 201-339-3508
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Provider Business Mailing Address
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Address Line | 1169 KENNEDY BLVD
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City | BAYONNE
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State | NJ
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Zip | 07002-3132
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Country | US
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Telephone | 201-339-3506
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Fax | 201-339-3508
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Authorized Official
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Title or Position | OWNER
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Name | MS. AILEEN MESIAS
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Credential |
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Telephone | 732-977-6588
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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 | PE1670600
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License Number State | NJ
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