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General NPI Number Information
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NPI Number | 1134708282
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Entity Type | Organization
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Legal Business Name | ENDEARING HOME SERVICES LLC
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 7008 MILBURN ESTATES DR
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City | O FALLON
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State | IL
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Zip | 62269-6998
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Country | US
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Telephone | 618-670-8558
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Fax |
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Provider Business Mailing Address
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Address Line | 7008 MILBURN ESTATES DR
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City | O FALLON
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State | IL
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Zip | 62269-6998
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Country | US
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Telephone | 618-670-8558
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER AUSTIN
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Credential |
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Telephone | 618-799-7314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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 | 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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Taxonomy #4
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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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