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NPI 1073033585

NPI 1073033585 : BELLACARE HOME SERVICES LLC : BELLEVUE, NE

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General NPI Number Information
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    NPI Number           |    1073033585
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    Entity Type          |    Organization 
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    Legal Business Name  |    BELLACARE HOME SERVICES LLC 
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Dates
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    Enumeration Date     |    06/26/2017
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    1408 FORT CROOK RD S FL 3 
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    City                 |    BELLEVUE
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    State                |    NE
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    Zip                  |    68005-3061
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    Country              |    US
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    Telephone            |    402-347-0007
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1408 FORT CROOK RD S FL 3 
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    City                 |    BELLEVUE
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    State                |    NE
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    Zip                  |    68005-3061
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    Country              |    US
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    Telephone            |    402-347-0007
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     ELIZABETH LEE MYERS 
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    Credential           |    PT
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    Telephone            |    907-987-4584
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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       |    HHA201702
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    License Number State |    NE
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