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General NPI Number Information
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NPI Number | 1245084748
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Entity Type | Organization
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Legal Business Name | EMBRACING LOVE HOME CARE
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Dates
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Enumeration Date | 04/12/2024
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 850 S 21ST ST STE M
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City | FORT PIERCE
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State | FL
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Zip | 34950-4846
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Country | US
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Telephone | 954-366-8636
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Fax |
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Provider Business Mailing Address
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Address Line | 101 SE DWIGHT AVE
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-2605
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Country | US
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Telephone | 954-624-6789
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY LEE
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Credential |
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Telephone | 954-624-6789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care 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 | 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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Taxonomy #4
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #11
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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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