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General NPI Number Information
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NPI Number | 1003251307
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Entity Type | Organization
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Legal Business Name | HEART 'N HOME HOSPICE AND PALLIATIVE CARE, LLC
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1550 NE WILLIAMSON BLVD STE 120
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City | BEND
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State | OR
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Zip | 97701-6091
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Country | US
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Telephone | 541-508-4036
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Fax | 541-508-4037
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Provider Business Mailing Address
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Address Line | 1100 NW 12TH ST
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City | FRUITLAND
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State | ID
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Zip | 83619-5040
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Country | US
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Telephone | 208-452-2662
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Fax | 208-452-2675
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSHUA L. PROFFITT
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Credential |
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Telephone | 337-233-1307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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