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General NPI Number Information
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NPI Number | 1417158742
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Entity Type | Organization
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Legal Business Name | JPK SENIOR CARE, INC.
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 6960 GRAY RD STE F
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-3237
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Country | US
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Telephone | 317-536-0231
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Fax |
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Provider Business Mailing Address
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Address Line | 5602 MADISON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-4625
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Country | US
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Telephone | 317-536-0231
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Fax | 317-536-0232
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN P KINDRED
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Credential |
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Telephone | 317-536-0231
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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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