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General NPI Number Information
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NPI Number | 1972227841
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Entity Type | Organization
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Legal Business Name | CARING ANGELS HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 2560 CATAMARAN WAY STE 8
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City | CHULA VISTA
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State | CA
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Zip | 91914-4533
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Country | US
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Telephone | 626-665-4105
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Fax | 619-777-1802
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Provider Business Mailing Address
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Address Line | 1062 CALLE PILARES
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City | CHULA VISTA
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State | CA
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Zip | 91913-3346
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Country | US
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Telephone | 626-665-4105
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MA CHRISTINA AGONCILLO
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Credential | LVN
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Telephone | 626-665-4105
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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 |
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License Number State |
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