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General NPI Number Information
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NPI Number | 1457119026
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Entity Type | Organization
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Legal Business Name | PROACTIVE HOMEMAKERS & COMPANIONS
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 115 EDGEWOOD AVE APT 5
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City | NEW HAVEN
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State | CT
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Zip | 06511-4585
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Country | US
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Telephone | 860-283-0111
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Fax | 860-283-0114
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Provider Business Mailing Address
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Address Line | 115 EDGEWOOD AVE APT 5
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City | NEW HAVEN
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State | CT
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Zip | 06511-4585
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Country | US
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Telephone | 203-507-7944
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Fax | 860-283-0114
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Authorized Official
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Title or Position | CEO
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Name | MS. MARIE N. C. CHERY
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Credential |
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Telephone | 203-440-6392
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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