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General NPI Number Information
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NPI Number | 1174258321
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Entity Type | Organization
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Legal Business Name | CHANGING HEARTS HOME CARE, LLC
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 916 N SHADELAND AVE STE E
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4825
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Country | US
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Telephone | 317-746-6676
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Fax | 317-956-5810
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Provider Business Mailing Address
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Address Line | 916 N SHADELAND AVE STE E
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4825
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Country | US
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Telephone | 317-746-6676
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Fax | 317-956-5810
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Authorized Official
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Title or Position | CEO
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Name | MRS. RHONDA J. LONG
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Credential | MBA, MSHM
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Telephone | 317-746-6676
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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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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 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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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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