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General NPI Number Information
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NPI Number | 1992799449
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Entity Type | Organization
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Legal Business Name | SJC HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 229 W GENERAL SCREVEN WAY STE H1-B
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City | HINESVILLE
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State | GA
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Zip | 31313-3054
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Country | US
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Telephone | 912-368-5064
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Fax | 912-876-2249
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Provider Business Mailing Address
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Address Line | 5510 PAULSEN ST
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City | SAVANNAH
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State | GA
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Zip | 31405-4903
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Country | US
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Telephone | 912-368-5064
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Fax | 912-876-2249
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | PAUL P HINCHEY
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Credential |
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Telephone | 912-819-6901
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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 | 025-174
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License Number State | GA
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