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General NPI Number Information
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NPI Number | 1952123697
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Entity Type | Organization
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Legal Business Name | GELLA DIGNITY CARE SERVICES
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 550 W MERRICK RD STE 3
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City | VALLEY STREAM
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State | NY
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Zip | 11580-5101
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Country | US
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Telephone | 516-200-3850
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Fax |
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Provider Business Mailing Address
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Address Line | 2279 COVENTRY RD
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City | BALDWIN
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State | NY
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Zip | 11510-3008
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Country | US
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Telephone | 516-986-5429
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Fax | 516-825-0112
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ROSELINE IHIM
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Credential | MD
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Telephone | 516-986-5429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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Taxonomy #2
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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 | NULL
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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | NULL
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Taxonomy #4
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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 | NULL
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Taxonomy #5
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State | NULL
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Taxonomy #6
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State | NULL
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Taxonomy #7
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number |
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License Number State | NULL
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Taxonomy #8
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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 | NULL
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