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NPI 1053012567

NPI 1053012567 : ABLE CARE HOME HEALTH, INC : FAYETTEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1053012567
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABLE CARE HOME HEALTH, INC 
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Dates
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    Enumeration Date     |    03/13/2023
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    Last Update Date     |    12/17/2025
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Provider Practice Location Address
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    Address Line         |    2606 RAEFORD RD STE 7 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28303-5476
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    Country              |    US
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    Telephone            |    910-759-9511
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2606 RAEFORD RD STE 7 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28303-5476
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    Country              |    US
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    Telephone            |    910-759-9511
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     LATOYA  GRANT 
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    Credential           |    
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    Telephone            |    910-759-9511
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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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Taxonomy #2
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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