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General NPI Number Information
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NPI Number | 1285820514
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Entity Type | Organization
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Legal Business Name | 1ST HOME HEALTH KARE
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 11440 LAKE SHERWOOD AVE N STE F
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City | BATON ROUGE
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State | LA
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Zip | 70816-0408
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Country | US
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Telephone | 225-248-8028
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Fax |
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Provider Business Mailing Address
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Address Line | 11440 LAKE SHERWOOD AVE N STE F
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City | BATON ROUGE
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State | LA
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Zip | 70816-0408
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Country | US
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Telephone | 225-248-8028
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BILSHANDA MARTIN
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Credential |
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Telephone | 225-248-8028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | PCA 14017
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License Number State | LA
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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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