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General NPI Number Information
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NPI Number | 1285562876
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Entity Type | Organization
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Legal Business Name | FRUIT OF THE SPIRIT HOMECARE, LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 3446 BROOKLINE AVE
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City | CINCINNATI
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State | OH
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Zip | 45220-1846
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Country | US
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Telephone | 317-600-7126
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Fax |
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Provider Business Mailing Address
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Address Line | 3446 BROOKLINE AVE
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City | CINCINNATI
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State | OH
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Zip | 45220-1846
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Country | US
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Telephone | 317-600-7126
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Fax |
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Authorized Official
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Title or Position | CEO/PROVIDER
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Name | JONNETTE EDWARDS
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Credential |
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Telephone | 317-459-2363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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