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General NPI Number Information
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NPI Number | 1063068633
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Entity Type | Organization
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Legal Business Name | CAREMED PRIVATE HOMECARE SOLUTION, LLC
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Dates
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Enumeration Date | 08/09/2019
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Last Update Date | 12/05/2020
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Provider Practice Location Address
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Address Line | 4469 SILVER PEAK PKWY
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City | SUWANEE
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State | GA
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Zip | 30024-4019
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Country | US
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Telephone | 404-590-4774
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3744
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City | SUWANEE
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State | GA
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Zip | 30024-0087
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Country | US
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Telephone | 404-369-3283
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELIZABETH HENRY
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Credential |
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Telephone | 404-435-3656
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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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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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