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General NPI Number Information
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NPI Number | 1306683511
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HOME CARE LTD
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Dates
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Enumeration Date | 07/15/2024
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 87 WOLF CREEK RD
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City | RANCHESTER
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State | WY
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Zip | 82839-8560
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Country | US
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Telephone | 307-683-6230
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Fax | 307-333-0424
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Provider Business Mailing Address
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Address Line | 87 WOLF CREEK RD
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City | RANCHESTER
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State | WY
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Zip | 82839-8560
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Country | US
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Telephone | 307-683-6230
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Fax | 307-333-0424
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Authorized Official
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Title or Position | OWNER
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Name | JAN M NICODEMUS
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Credential |
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Telephone | 763-238-5215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 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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