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General NPI Number Information
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NPI Number | 1356162531
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Entity Type | Organization
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Legal Business Name | BENEFICENT HOME CARE LLC-S
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 5122 W. REGENT ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46241
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Country | US
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Telephone | 317-970-4676
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Fax |
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Provider Business Mailing Address
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Address Line | 5122 W REGENT ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46241-4750
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Country | US
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Telephone | 317-970-4676
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TOYOSI FAGBEMI
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Credential |
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Telephone | 317-970-4676
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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 | 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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