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General NPI Number Information
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NPI Number | 1043293814
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Entity Type | Organization
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Legal Business Name | ALLIANCE HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 11/25/2005
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 5455 HARRISON PARK LN STE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46216-2245
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Country | US
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Telephone | 317-581-1100
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Fax | 317-816-3131
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Provider Business Mailing Address
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Address Line | 5455 HARRISON PARK LN STE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46216-2245
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Country | US
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Telephone | 317-581-1100
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Fax | 317-816-3131
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Authorized Official
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Title or Position | CEO
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Name | RICHARD KELLER
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Credential |
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Telephone | 317-581-1100
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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 | 006271
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License Number State | IN
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