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General NPI Number Information
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NPI Number | 1134049109
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Entity Type | Organization
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Legal Business Name | CARE MADE KIND RESIDENCES LLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 119 LASSITER DR
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City | HAMPTON
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State | VA
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Zip | 23666-4407
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Country | US
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Telephone | 757-940-3099
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Fax |
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Provider Business Mailing Address
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Address Line | 119 LASSITER DR
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City | HAMPTON
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State | VA
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Zip | 23666-4407
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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 | CHEW'ON BELL
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Credential | RN, MSN
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Telephone | 757-940-3099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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