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General NPI Number Information
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NPI Number | 1275404576
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Entity Type | Organization
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Legal Business Name | HER HOUSE OUR COMMUNITY RESIDENTIAL SERVICES LLC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1000 CONCORD AVE
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City | AKRON
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State | OH
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Zip | 44306-2405
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Country | US
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Telephone | 330-472-2530
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Fax |
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Provider Business Mailing Address
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Address Line | 700 GREENWOOD AVE
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City | AKRON
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State | OH
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Zip | 44320-1804
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Country | US
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Telephone | 330-472-2530
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMMA BENSON
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Credential |
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Telephone | 330-472-2530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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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 | 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 #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 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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