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General NPI Number Information
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NPI Number | 1376580365
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Entity Type | Organization
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Legal Business Name | MINISTRY HOME CARE, LLC.
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 231A KEEL CT
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City | STURGEON BAY
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State | WI
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Zip | 54235-3913
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Country | US
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Telephone | 920-695-3150
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Fax | 844-088-0706
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Provider Business Mailing Address
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Address Line | 231A KEEL CT
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City | STURGEON BAY
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State | WI
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Zip | 54235-3913
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Country | US
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Telephone | 920-695-3150
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Fax | 844-088-0706
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | STEVEN SCOTT
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Credential |
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Telephone | 408-658-2768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 187
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License Number State | WI
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