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General NPI Number Information
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NPI Number | 1205246022
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Entity Type | Organization
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Legal Business Name | EVEREADY HOME CARE, LLC
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 17902 MAIN ST
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City | DUMFRIES
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State | VA
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Zip | 22026-2466
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Country | US
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Telephone | 703-496-4300
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Fax | 855-256-4003
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Provider Business Mailing Address
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Address Line | 17902 MAIN ST
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City | DUMFRIES
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State | VA
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Zip | 22026-2466
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Country | US
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Telephone | 703-496-4300
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Fax | 855-256-4003
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Authorized Official
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Title or Position | NURSING DIRECTOR/CEO
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Name | MRS. PRISCILLA OWUSU OBENG
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Credential | REGISTERED NURSE
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Telephone | 703-496-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | HCO-14719
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | HCO-14719
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | HCO-14719
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | HCO14719
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License Number State | VA
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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 | HCO14719
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | HCO-14719
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | HCO-14719
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCO-14719
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License Number State | VA
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