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General NPI Number Information
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NPI Number | 1396568234
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Entity Type | Organization
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Legal Business Name | EVERLASTING CARE HOME HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 2611 N 112TH AVE
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City | OMAHA
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State | NE
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Zip | 68164-3657
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Country | US
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Telephone | 402-278-6149
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 166
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City | BENNINGTON
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State | NE
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Zip | 68007-0166
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Country | US
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Telephone | 402-278-6149
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. NAKIA N LOCKETT
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Credential | N/A
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Telephone | 402-278-6149
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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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