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NPI 1043089444

NPI 1043089444 : 1047 HOME HEALTH & MORE LLC : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1043089444
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    Entity Type          |    Organization 
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    Legal Business Name  |    1047 HOME HEALTH & MORE LLC 
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Dates
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    Enumeration Date     |    12/27/2023
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    Last Update Date     |    07/16/2025
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Provider Practice Location Address
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    Address Line         |    450 E 96TH ST STE 500 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46240-3760
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    Country              |    US
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    Telephone            |    317-581-6185
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    Fax                  |    317-458-1645
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Provider Business Mailing Address
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    Address Line         |    450 E 96TH ST STE 500 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46240-3760
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    Country              |    US
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    Telephone            |    317-581-6185
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    Fax                  |    317-458-1645
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MRS. LETITIA D FINNIE SANDERS 
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    Credential           |    
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    Telephone            |    317-607-2110
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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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