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NPI 1396689048

NPI 1396689048 : HOME AWAY FROM HOME CARE SERVICES : MERIDIAN, MS

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General NPI Number Information
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    NPI Number           |    1396689048
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOME AWAY FROM HOME CARE SERVICES 
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Dates
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    Enumeration Date     |    04/15/2026
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    Last Update Date     |    04/21/2026
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Provider Practice Location Address
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    Address Line         |    6227 15TH AVE 
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    City                 |    MERIDIAN
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    State                |    MS
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    Zip                  |    39305-1238
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    Country              |    US
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    Telephone            |    601-616-8902
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6147 POPLAR SPRINGS DR 
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    City                 |    MERIDIAN
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    State                |    MS
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    Zip                  |    39305-1250
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    Country              |    US
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    Telephone            |    601-616-8902
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JALEENA  HOPSON 
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    Credential           |    
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    Telephone            |    601-616-8902
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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        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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