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General NPI Number Information
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NPI Number | 1184351603
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Entity Type | Organization
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Legal Business Name | SUPPORTING ANGELS LLC
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 303 CONGRESSIONAL BLVD STE 200
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City | CARMEL
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State | IN
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Zip | 46032-5631
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Country | US
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Telephone | 463-224-6732
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Fax |
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Provider Business Mailing Address
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Address Line | 303 CONGRESSIONAL BLVD STE 200
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City | CARMEL
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State | IN
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Zip | 46032-5631
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Country | US
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Telephone | 317-778-4555
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CHAITINA ANTHONY
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Credential | RN
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Telephone | 317-778-4555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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