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General NPI Number Information
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NPI Number | 1295577740
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Entity Type | Organization
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Legal Business Name | KEHO HOME CARE
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 3901 W 86TH ST FL 3
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-5734
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Country | US
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Telephone | 888-392-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 3901 W 86TH ST FL 3
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-5734
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Country | US
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Telephone | 888-392-0555
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. HOPE PACE
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Credential |
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Telephone | 407-922-2994
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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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 | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 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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