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General NPI Number Information
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NPI Number | 1275401747
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Entity Type | Organization
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Legal Business Name | RIGHT SOURCE HOMECARE LLC
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 10742 HUNTER LAKE LN
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-8986
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Country | US
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Telephone | 317-275-7238
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Fax | 317-610-3065
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Provider Business Mailing Address
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Address Line | 10742 HUNTER LAKE LN
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-8986
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Country | US
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Telephone | 317-275-7238
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Fax | 317-610-3065
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Authorized Official
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Title or Position | CEO
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Name | LATINA ANDREA WADE
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Credential | RN
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Telephone | 317-964-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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