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General NPI Number Information
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NPI Number | 1447432554
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Entity Type | Organization
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Legal Business Name | STAT HOME HEALTH NORTH LLC
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 2014 TOWER DR STE D
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City | MONROE
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State | LA
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Zip | 71201-5194
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Country | US
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Telephone | 318-410-1344
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Fax | 318-410-1355
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Provider Business Mailing Address
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Address Line | 10615 JEFFERSON HWY
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City | BATON ROUGE
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State | LA
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Zip | 70809-7230
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Country | US
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Telephone | 225-769-2449
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PATRICK MITCHELL
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Credential |
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Telephone | 318-371-3673
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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 | 138
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License Number State | LA
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