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General NPI Number Information
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NPI Number | 1235075805
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Entity Type | Organization
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Legal Business Name | ICAN HOME CARE SERVICES
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 207 PROGRESS WAY STE 112
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City | BRYANT
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State | AR
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Zip | 72022-8810
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Country | US
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Telephone | 501-451-5545
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Fax |
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Provider Business Mailing Address
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Address Line | 207 PROGRESS WAY STE 112
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City | BRYANT
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State | AR
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Zip | 72022-8810
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Country | US
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Telephone | 501-451-5545
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | DR. TALAYIA J JOHNSON
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Credential | EDD, MSN, RN
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Telephone | 501-451-5545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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