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General NPI Number Information
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NPI Number | 1336939172
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Entity Type | Organization
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Legal Business Name | HEARTFILLED HANDS LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 5450 MARY ANN LN
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City | MERRILLVILLE
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State | IN
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Zip | 46410-1754
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Country | US
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Telephone | 219-793-2217
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Fax |
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Provider Business Mailing Address
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Address Line | 5450 MARY ANN LN
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City | MERRILLVILLE
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State | IN
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Zip | 46410-1754
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE GREEN
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Credential |
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Telephone | 219-238-4534
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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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