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General NPI Number Information
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NPI Number | 1083863286
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Entity Type | Organization
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Legal Business Name | SAINT JOSEPH-ANC HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2464 FORTUNE DR SUITE 110
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City | LEXINGTON
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State | KY
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Zip | 40509
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Country | US
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Telephone | 859-277-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 6281 TRI RIDGE BLVD STE 300
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City | LOVELAND
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State | OH
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Zip | 45140-8345
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Country | US
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Telephone | 513-576-0262
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Fax |
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Authorized Official
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Title or Position | VP, FINANCE/CFO
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Name | JACK HAWKINS
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Credential |
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Telephone | 513-576-8478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | KY
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | KY
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Taxonomy #4
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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 | KY
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