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NPI 1306145321

NPI 1306145321 : ALL CARE HOME HEALTH : OWENSBORO, KY

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General NPI Number Information
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    NPI Number           |    1306145321
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALL CARE HOME HEALTH 
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Dates
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    Enumeration Date     |    03/16/2011
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    Last Update Date     |    08/19/2020
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Provider Practice Location Address
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    Address Line         |    3000 ALVEY PARK DR W STE F 
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    City                 |    OWENSBORO
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    State                |    KY
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    Zip                  |    42303-2104
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    Country              |    US
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    Telephone            |    270-683-3661
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3000 ALVEY PARK DR W STE F 
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    City                 |    OWENSBORO
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    State                |    KY
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    Zip                  |    42303-2104
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    Country              |    US
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    Telephone            |    270-683-3661
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. CARL P LEWIS 
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    Credential           |    RPH
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    Telephone            |    270-683-3661
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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        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    MG0820
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    License Number State |    KY
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