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General NPI Number Information
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NPI Number | 1942141619
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Entity Type | Organization
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Legal Business Name | SHORELINE SENIOR CARE LLC
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Dates
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Enumeration Date | 04/04/2026
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Last Update Date | 04/04/2026
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Provider Practice Location Address
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Address Line | 879 W 190TH ST STE 400
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City | GARDENA
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State | CA
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Zip | 90248-4223
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Country | US
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Telephone | 424-488-8821
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Fax | 424-435-4244
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Provider Business Mailing Address
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Address Line | 879 W 190TH ST STE 400
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City | GARDENA
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State | CA
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Zip | 90248-4223
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Country | US
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Telephone | 424-488-8821
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Fax | 424-435-4244
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Authorized Official
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Title or Position | OWNER
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Name | TIMOTHY HENG-LU
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Credential |
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Telephone | 858-610-9363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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