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General NPI Number Information
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NPI Number | 1154118461
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Entity Type | Organization
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Legal Business Name | EMINENCE HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 7 BIRDS NEST WAY
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City | SHEPERDSTOWN
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State | WV
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Zip | 25443
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Country | US
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Telephone | 202-468-6978
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Fax |
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Provider Business Mailing Address
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Address Line | 804 E TANTALLON DR
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-5207
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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 | MANAGING MEMBER
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Name | CHEIKH DEMBA
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Credential |
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Telephone | 202-468-6978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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