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NPI 1104642610

NPI 1104642610 : CARING LEGACY HOME CARE : SENECA, SC

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General NPI Number Information
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    NPI Number           |    1104642610
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARING LEGACY HOME CARE 
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Dates
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    Enumeration Date     |    11/29/2024
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    Last Update Date     |    03/20/2025
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Provider Practice Location Address
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    Address Line         |    315 HOLLAND AVE # 121 
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    City                 |    SENECA
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    State                |    SC
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    Zip                  |    29678-3600
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    Country              |    US
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    Telephone            |    864-478-6913
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    315 HOLLAND AVE # 112 
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    City                 |    SENECA
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    State                |    SC
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    Zip                  |    29678-3600
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    Country              |    US
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    Telephone            |    864-478-6913
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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. KENYA  HUNTER 
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    Credential           |    
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    Telephone            |    864-478-6913
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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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Taxonomy #2
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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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