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General NPI Number Information
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NPI Number | 1982074167
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Entity Type | Organization
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Legal Business Name | CARE MATTERS HEALTHCARE INC
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Dates
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Enumeration Date | 10/01/2015
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 5055 EXPOSITION BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90016-3913
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Country | US
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Telephone | 310-912-9274
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Fax | 424-789-8118
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Provider Business Mailing Address
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Address Line | 5055 EXPOSITION BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90016-3913
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Country | US
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Telephone | 310-912-9274
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Fax | 424-789-8118
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | CHANNON M MITCHELL
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Credential |
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Telephone | 310-912-9274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 | 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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Taxonomy #3
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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