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NPI 1336089663

NPI 1336089663 : BENEFICENCE HOME HEALTH CARE AGENCY LLC : FAYETTEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1336089663
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    Entity Type          |    Organization 
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    Legal Business Name  |    BENEFICENCE HOME HEALTH CARE AGENCY LLC 
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Dates
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    Enumeration Date     |    03/30/2026
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    Last Update Date     |    03/30/2026
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Provider Practice Location Address
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    Address Line         |    2932 BREEZEWOOD AVE STE 103 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28303-5455
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    Country              |    US
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    Telephone            |    910-491-2348
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2932 BREEZEWOOD AVE STE 103 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28303-5455
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    Country              |    US
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    Telephone            |    910-491-2348
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    Fax                  |    
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Authorized Official
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    Title or Position    |    AGENCY DIRECTOR
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    Name                 |     TASHANNA  ASHFORD 
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    Credential           |    RN
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    Telephone            |    910-491-2348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care 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        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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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        |    385HR2060X
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    Taxonomy Name        |    Child Intellectual and/or Developmental Disabilities Respite Care
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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        |    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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