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General NPI Number Information
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NPI Number | 1124817820
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Entity Type | Organization
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Legal Business Name | OHIO AT HOME SKILLED NURSING LLC
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 8230 PITTSBURG AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-5619
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Country | US
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Telephone | 989-726-4794
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Fax |
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Provider Business Mailing Address
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Address Line | 7927 NEMCO WAY STE 200
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City | BRIGHTON
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State | MI
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Zip | 48116-9458
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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 | DIRECTOR OF OPERATIONS
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Name | MR. MADISON MAYS
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Credential |
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Telephone | 989-726-4794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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