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General NPI Number Information
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NPI Number | 1295373264
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Entity Type | Organization
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Legal Business Name | HOME LIFE KARE
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Dates
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Enumeration Date | 12/20/2019
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 147 CASTLE DR
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City | MADISON
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State | AL
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Zip | 35758-8257
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Country | US
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Telephone | 256-952-2288
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Fax | 256-438-5515
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Provider Business Mailing Address
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Address Line | 147 CASTLE DR
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City | MADISON
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State | AL
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Zip | 35758-8257
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Country | US
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Telephone | 256-952-2288
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Fax | 256-438-5515
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Authorized Official
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Title or Position | OWNER
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Name | LASONIA R SAMS
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Credential |
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Telephone | 256-952-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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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 | 172A00000X
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Taxonomy Name | Driver
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 372500000X
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Taxonomy Name | Chore Provider
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #9
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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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