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General NPI Number Information
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NPI Number | 1982456158
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Entity Type | Organization
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Legal Business Name | ABLISS HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 04/02/2024
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 3756 SANTA ROSALIA DR STE 326
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City | LOS ANGELES
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State | CA
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Zip | 90008-3615
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Country | US
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Telephone | 901-229-4403
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Fax | 626-380-4431
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Provider Business Mailing Address
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Address Line | 1605 LINDSEY LN
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City | SOUTHAVEN
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State | MS
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Zip | 38672-8553
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Country | US
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Telephone | 901-229-4403
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RUTHA SMITH-CARR
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Credential |
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Telephone | 901-229-4403
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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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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 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 #4
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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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