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NPI 1346030954

NPI 1346030954 : TRUE DIGNITY HOMECARE LLC : COLUMBIA, SC

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General NPI Number Information
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    NPI Number           |    1346030954
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRUE DIGNITY HOMECARE LLC 
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Dates
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    Enumeration Date     |    05/07/2025
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    Last Update Date     |    05/07/2025
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Provider Practice Location Address
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    Address Line         |    810 DUTCH SQUARE BLVD STE 121 
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    City                 |    COLUMBIA
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    State                |    SC
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    Zip                  |    29210-7318
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    Country              |    US
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    Telephone            |    803-563-5334
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3941 CHARLESTON HWY LOT 140 
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    City                 |    WEST COLUMBIA
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    State                |    SC
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    Zip                  |    29172-2915
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    Country              |    US
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    Telephone            |    909-361-2192
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KEYSHAUN PERNAIL DAVIS 
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    Credential           |    
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    Telephone            |    803-521-4761
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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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Taxonomy #2
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    Taxonomy Code        |    332U00000X
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    Taxonomy Name        |    Home Delivered Meals
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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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