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General NPI Number Information
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NPI Number | 1184430738
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Entity Type | Organization
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Legal Business Name | C&R HOMECARE SERVICES LLC.
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 560 ELLA T GRASSO BLVD
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City | NEW HAVEN
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State | CT
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Zip | 06519-1827
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Country | US
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Telephone | 203-589-7152
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Fax |
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Provider Business Mailing Address
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Address Line | 560 ELLA T GRASSO BLVD
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City | NEW HAVEN
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State | CT
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Zip | 06519-1827
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Country | US
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Telephone | 203-589-7152
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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 | MRS. IKEISHA M CAGLE
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Credential | MSW
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Telephone | 203-589-7152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 251B00000X
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Taxonomy Name | Case Management 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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 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 #6
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #7
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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 #8
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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