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General NPI Number Information
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NPI Number | 1124819081
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Entity Type | Organization
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Legal Business Name | HOME SWEET HOME ASSISTED LIVING LLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 2333 W LANCASTER AVE
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City | MILWAUKEE
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State | WI
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Zip | 53209-5649
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Country | US
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Telephone | 414-539-6057
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Fax | 414-539-6037
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Provider Business Mailing Address
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Address Line | 2333 W LANCASTER AVE
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City | MILWAUKEE
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State | WI
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Zip | 53209-5649
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Country | US
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Telephone | 414-539-6057
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Fax | 414-539-6037
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MS. SAKOTA DAWN TRIPLETT
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Credential | LICENSED PROVIDER
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Telephone | 414-469-7658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 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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