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General NPI Number Information
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NPI Number | 1205729357
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Entity Type | Organization
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Legal Business Name | 1ST PRIORITY HOME HEALTHCARE OF INDY
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 10713 CREEKSIDE WOODS DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-9449
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Country | US
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Telephone | 404-956-7496
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 462
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-0462
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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 | CHIEF OPERATIONS OFFICER
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Name | KENYATTA KENNEDY
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Credential | MSN, RN,
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Telephone | 404-956-7496
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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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