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NPI 1104212042

NPI 1104212042 : PREMIER HOME HEALTH INDIANA, LLC : CARMEL, IN

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General NPI Number Information
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    NPI Number           |    1104212042
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    Entity Type          |    Organization 
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    Legal Business Name  |    PREMIER HOME HEALTH INDIANA, LLC 
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Dates
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    Enumeration Date     |    04/07/2015
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    Last Update Date     |    10/27/2025
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Provider Practice Location Address
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    Address Line         |    11595 N MERIDIAN ST STE 515 
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    City                 |    CARMEL
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    State                |    IN
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    Zip                  |    46032-6969
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    Country              |    US
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    Telephone            |    317-983-1716
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    Fax                  |    317-983-1717
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Provider Business Mailing Address
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    Address Line         |    11595 N MERIDIAN ST STE 515 
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    City                 |    CARMEL
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    State                |    IN
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    Zip                  |    46032-6969
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    Country              |    US
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    Telephone            |    317-983-1716
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    Fax                  |    317-983-1717
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ELIZABETH  ROBINSON 
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    Credential           |    
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    Telephone            |    423-227-4823
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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       |    
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    License Number State |    
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