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General NPI Number Information
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NPI Number | 1396601738
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Entity Type | Organization
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Legal Business Name | TAYLOR MADE CARE LLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1910 COUNTY HOSPITAL RD MAIN HOUSE
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City | NASHVILLE
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State | TN
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Zip | 37218-2606
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Country | US
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Telephone | 914-619-0155
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 COUNTY HOSPITAL RD MAIN HOUSE
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City | NASHVILLE
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State | TN
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Zip | 37218-2606
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Country | US
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Telephone | 914-619-0155
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MR. JESSE HENRY
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Credential |
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Telephone | 914-619-0155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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