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General NPI Number Information
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NPI Number | 1346691102
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Entity Type | Organization
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Legal Business Name | ELITE HOME CARE
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 2000 BUD ARTHUR BRIDGE RD
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City | SPARTANBURG
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State | SC
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Zip | 29307-4417
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Country | US
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Telephone | 864-642-1916
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Fax | 704-919-5011
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Provider Business Mailing Address
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Address Line | PO BOX 1181
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City | SPARTANBURG
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State | SC
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Zip | 29304-1181
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Country | US
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Telephone | 864-529-8426
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Fax | 704-919-5011
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GWEN PAINTER
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Credential |
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Telephone | 864-529-9849
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | ADC-0406
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License Number State | SC
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