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General NPI Number Information
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NPI Number | 1306632187
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Entity Type | Organization
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Legal Business Name | PROCARE HOME HEALTH LLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 5900 ROCHE DR STE 201
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City | COLUMBUS
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State | OH
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Zip | 43229-3290
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Country | US
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Telephone | 614-368-6285
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Fax | 614-468-1588
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Provider Business Mailing Address
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Address Line | 5900 ROCHE DR STE 201
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City | COLUMBUS
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State | OH
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Zip | 43229-3290
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Country | US
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Telephone | 614-368-6285
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Fax | 614-468-1588
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FATOU OUSMAN CEESAY
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Credential | RN,BSN
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Telephone | 614-368-6285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 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 #3
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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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