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NPI 1033314505

NPI 1033314505 : ADORATION HOME HEALTH CARE VIRGINIA LLC : KINGSPORT, TN

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General NPI Number Information
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    NPI Number           |    1033314505
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADORATION HOME HEALTH CARE VIRGINIA LLC 
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Dates
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    Enumeration Date     |    06/15/2007
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    Last Update Date     |    07/08/2025
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Provider Practice Location Address
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    Address Line         |    1 SHERIDAN SQ STE 105 
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    City                 |    KINGSPORT
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    State                |    TN
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    Zip                  |    37660-7398
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    Country              |    US
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    Telephone            |    423-230-8485
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    Fax                  |    800-311-7783
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Provider Business Mailing Address
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    Address Line         |    805 N WHITTINGTON PKWY STE 400 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40222-7102
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    Country              |    US
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    Telephone            |    502-630-7138
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    Fax                  |    336-878-8883
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     MARGARET S PEMBERTON 
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    Credential           |    
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    Telephone            |    502-394-2321
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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       |    
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    License Number State |    
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