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General NPI Number Information
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NPI Number | 1356204903
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Entity Type | Organization
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Legal Business Name | B.MORE HOME CARE LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 4040 LASSEN LN
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City | INDIANAPOLIS
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State | IN
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Zip | 46235-8836
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Country | US
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Telephone | 463-246-9982
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Fax | 463-464-3004
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Provider Business Mailing Address
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Address Line | 4040 LASSEN LN
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City | INDIANAPOLIS
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State | IN
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Zip | 46235-8836
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Country | US
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Telephone | 463-246-9982
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Fax | 463-464-3004
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Authorized Official
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Title or Position | CEO
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Name | DAVADA BOLDEN-BLAKEMORE
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Credential | RN
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Telephone | 317-602-9374
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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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