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General NPI Number Information
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NPI Number | 1215315874
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Entity Type | Organization
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Legal Business Name | HOME CARE ENTERPRISE LLC
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Dates
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Enumeration Date | 05/14/2015
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 2810 CROSSROADS DR SUITE 4000
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City | MADISON
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State | WI
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Zip | 53718-7942
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Country | US
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Telephone | 608-819-4955
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Fax | 608-819-4956
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Provider Business Mailing Address
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Address Line | 2810 CROSSROADS DR SUITE 4000
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City | MADISON
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State | WI
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Zip | 53718-7942
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Country | US
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Telephone | 608-819-4955
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Fax | 608-819-4956
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Authorized Official
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Title or Position | OWNER
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Name | JEFF LEE
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Credential |
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Telephone | 608-819-4955
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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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