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General NPI Number Information
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NPI Number | 1295546307
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Entity Type | Organization
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Legal Business Name | ROSE'S COMFORT LLC
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 11910 CARDIS CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46229-1943
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Country | US
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Telephone | 414-418-4062
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Fax |
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Provider Business Mailing Address
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Address Line | 11910 CARDIS CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46229-1943
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Country | US
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Telephone | 414-418-4062
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CIARA CAMBEROS
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Credential |
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Telephone | 414-418-4062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 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 #4
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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 #5
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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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 | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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