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General NPI Number Information
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NPI Number | 1114882594
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Entity Type | Organization
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Legal Business Name | FOUR BROTHERS HOME CARE LLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 5488 S CEYLON WAY
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City | CENTENNIAL
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State | CO
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Zip | 80015-4832
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Country | US
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Telephone | 646-384-3691
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Fax |
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Provider Business Mailing Address
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Address Line | 5488 S CEYLON WAY
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City | CENTENNIAL
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State | CO
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Zip | 80015-4832
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Country | US
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Telephone | 646-384-3691
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | BENJAMIN BOROHOV
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Credential |
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Telephone | 646-384-3691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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