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General NPI Number Information
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NPI Number | 1053901215
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Entity Type | Organization
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Legal Business Name | CARE AT HOME LLC
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 7600 CAMERON RD APT SUITE
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City | AUSTIN
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State | TX
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Zip | 78752-2020
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Country | US
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Telephone | 512-565-2626
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Fax | 512-713-0876
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Provider Business Mailing Address
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Address Line | 7600 CAMERON RD APT SUITE
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City | AUSTIN
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State | TX
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Zip | 78752-2020
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Country | US
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Telephone | 512-565-2626
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Fax | 512-713-0876
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA HENDERSON
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Credential | RN
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Telephone | 512-565-2626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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