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General NPI Number Information
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NPI Number | 1275686586
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Entity Type | Organization
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Legal Business Name | HOMENURSE INC.
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 2920 N EXPRESSWAY
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City | GRIFFIN
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State | GA
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Zip | 30223-6495
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Country | US
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Telephone | 770-229-9153
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Fax | 678-884-1476
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Provider Business Mailing Address
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Address Line | PO BOX 634
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City | SUNNY SIDE
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State | GA
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Zip | 30284-0634
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Country | US
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Telephone | 770-229-9153
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Fax | 678-884-1476
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. LIBBY ABLE
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Credential | RN
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Telephone | 770-229-9153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 126-R-0001
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 126-R-0001
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 126-R-0001
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License Number State | GA
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