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General NPI Number Information
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NPI Number | 1003200874
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Entity Type | Organization
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Legal Business Name | A PLACE AT HOME, LLC
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 4237 SALISBURY RD STE 305
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City | JACKSONVILLE
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State | FL
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Zip | 32216-0908
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Country | US
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Telephone | 904-539-4688
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Fax |
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Provider Business Mailing Address
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Address Line | 11422 MIRACLE HILLS DR STE 450
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City | OMAHA
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State | NE
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Zip | 68154-4443
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Country | US
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Telephone | 888-502-6310
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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. DUSTIN DISTEFANO
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Credential |
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Telephone | 402-281-0737
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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 | HHA201205
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License Number State | NE
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Taxonomy #2
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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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