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NPI 1386490043

NPI 1386490043 : BETTERUP HOME HEALTH CARE SERVICES LLC : WASHINGTON, DC

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General NPI Number Information
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    NPI Number           |    1386490043
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    Entity Type          |    Organization 
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    Legal Business Name  |    BETTERUP HOME HEALTH CARE SERVICES LLC 
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Dates
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    Enumeration Date     |    04/24/2024
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    Last Update Date     |    04/24/2024
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Provider Practice Location Address
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    Address Line         |    7600 GEORGIA AVE NW STE 209B 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20012-1616
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    Country              |    US
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    Telephone            |    202-641-0657
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7600 GEORGIA AVE NW STE 209B 
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    City                 |    WASHINGTON
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    State                |    DC
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    Zip                  |    20012-1616
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     TOSHUM  NGALE 
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    Credential           |    
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    Telephone            |    202-641-0657
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health 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        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    315P00000X
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    Taxonomy Name        |    Intellectual Disabilities Intermediate Care Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    320600000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    261QD1600X
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    Taxonomy Name        |    Developmental Disabilities Clinic/Center
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    License Number       |    
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    License Number State |    
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