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General NPI Number Information
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NPI Number | 1124021720
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Entity Type | Organization
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Legal Business Name | TOTAL HOMECARE CORPORATION
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 3333 S CRATER RD STE 5
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City | PETERSBURG
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State | VA
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Zip | 23805
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Country | US
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Telephone | 804-861-1606
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Fax | 804-862-1254
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Provider Business Mailing Address
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Address Line | 555 E NORTH LN STE 5075
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-2490
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CCO
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Name | WENDY RUSSALESI
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Credential |
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Telephone | 484-246-9499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 0206008302
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0206008302
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License Number State | VA
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