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General NPI Number Information
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NPI Number | 1972283372
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Entity Type | Organization
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Legal Business Name | JOY AND LOVE HOME CARE LLC
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Dates
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Enumeration Date | 07/20/2023
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 1178 EVERGREEN LN
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City | VISTA
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State | CA
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Zip | 92084-1015
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Country | US
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Telephone | 661-754-0261
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Fax |
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Provider Business Mailing Address
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Address Line | 1178 EVERGREEN LN
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City | VISTA
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State | CA
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Zip | 92084-1015
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Country | US
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Telephone | 661-754-0261
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. SIVAGANESH VENKATA MULLAPUDI
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Credential | MS, MBA
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Telephone | 661-754-0261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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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 | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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