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General NPI Number Information
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NPI Number | 1235802265
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Entity Type | Organization
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Legal Business Name | HEALTHY AT HOME LLC
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 116 E MAIN ST STE 103
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City | CHERRYVILLE
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State | NC
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Zip | 28021-3461
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Country | US
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Telephone | 980-925-2248
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Fax | 704-228-7092
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Provider Business Mailing Address
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Address Line | 219 W MAIN AVE
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City | GASTONIA
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State | NC
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Zip | 28052-4140
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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 | CEO
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Name | STEPHANIE CAMP
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Credential |
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Telephone | 980-785-5069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #7
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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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