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General NPI Number Information
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NPI Number | 1124990254
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Entity Type | Organization
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Legal Business Name | VETERAN HOME CARE LLC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1321 N NORTHWOOD CENTER CT STE 1
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City | COEUR D ALENE
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State | ID
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Zip | 83814-4944
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Country | US
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Telephone | 505-266-6683
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 66539
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City | ALBUQUERQUE
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State | NM
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Zip | 87193-6539
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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 | OWNER
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Name | STEVE TRACY
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Credential |
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Telephone | 505-266-6683
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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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