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General NPI Number Information
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NPI Number | 1023627452
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Entity Type | Organization
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Legal Business Name | ELYON HOME HEALTHCARE, LLC.
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 18139 TRIANGLE SHOPPING PLZ STE 213
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City | DUMFRIES
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State | VA
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Zip | 22026-2582
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Country | US
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Telephone | 703-986-0161
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Fax | 703-986-0717
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Provider Business Mailing Address
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Address Line | 18139 TRIANGLE SHOPPING PLZ STE 213
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City | DUMFRIES
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State | VA
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Zip | 22026-2582
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Country | US
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Telephone | 703-986-0161
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Fax | 703-986-0717
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Authorized Official
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Title or Position | OWNER
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Name | KENNETH KWEKU BANSAH
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Credential |
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Telephone | 703-986-0161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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