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General NPI Number Information
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NPI Number | 1073385902
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Entity Type | Organization
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Legal Business Name | CAPITAL HOME CARE LLC
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 104 S WHITE ST STE 100
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City | WAKE FOREST
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State | NC
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Zip | 27587-2773
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Country | US
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Telephone | 919-995-4943
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Fax |
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Provider Business Mailing Address
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Address Line | 14460 FALLS OF NEUSE RD STE 149-155
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City | RALEIGH
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State | NC
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Zip | 27614-8227
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Country | US
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Telephone | 919-995-4943
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. HANNA AFRASSA
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Credential |
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Telephone | 919-995-4943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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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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