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General NPI Number Information
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NPI Number | 1205708864
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Entity Type | Organization
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Legal Business Name | GROUP 1 HOMES
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 22200 W 11 MILE RD UNIT 3373
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City | SOUTHFIELD
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State | MI
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Zip | 48037-7095
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Country | US
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Telephone | 313-363-1682
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3373
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City | SOUTHFIELD
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State | MI
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Zip | 48037-3373
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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 | OWNER
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Name | KENNETH ALLEN
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Credential |
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Telephone | 313-363-1682
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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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