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General NPI Number Information
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NPI Number | 1306647847
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Entity Type | Organization
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Legal Business Name | AT HOME HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 7201 TWO NOTCH RD STE AU510
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City | COLUMBIA
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State | SC
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Zip | 29223-1334
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Country | US
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Telephone | 803-466-6206
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Fax |
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Provider Business Mailing Address
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Address Line | 220 CLAIRMEADE WAY
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City | COLUMBIA
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State | SC
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Zip | 29229-8294
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Country | US
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Telephone | 803-466-6206
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. DUANE GREENE
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Credential |
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Telephone | 803-466-6206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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