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General NPI Number Information
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NPI Number | 1427396027
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Entity Type | Organization
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Legal Business Name | KC HOME CARE INC
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 1900 N UNIVERSITY DR STE 102
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3618
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Country | US
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Telephone | 954-560-9766
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Fax | 954-323-2449
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Provider Business Mailing Address
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Address Line | 880 SW 190TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-6057
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Country | US
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Telephone | 954-560-9766
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Fax | 954-323-2449
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Authorized Official
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Title or Position | MANAGER
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Name | KAREN CURTIS
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Credential |
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Telephone | 954-560-9766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 006327300
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 3106432
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 006327300
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 008125800
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 008125800
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 006327300
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | 008125800
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number | 006327300
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License Number State | FL
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Taxonomy #11
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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 | 006327300
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License Number State | FL
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Taxonomy #12
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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 | 008125800
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License Number State | FL
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Taxonomy #13
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 006327300
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License Number State | FL
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Taxonomy #14
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 008125800
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License Number State | FL
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Taxonomy #15
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 008125800
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License Number State | FL
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