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General NPI Number Information
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NPI Number | 1457630907
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Entity Type | Organization
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Legal Business Name | EXCELLENCE HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 08/15/2011
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 3255 E LIVINGSTON AVE STE 4
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City | COLUMBUS
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State | OH
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Zip | 43227-1967
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Country | US
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Telephone | 614-755-6502
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Fax | 614-604-9836
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Provider Business Mailing Address
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Address Line | 3255 E LIVINGSTON AVE STE 4
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City | COLUMBUS
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State | OH
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Zip | 43227-1967
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Country | US
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Telephone | 614-755-6502
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Fax | 614-604-9836
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Authorized Official
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Title or Position | OWNER
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Name | ERNESTINA APPIAH-BOATENG
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Credential | RN
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Telephone | 614-755-6502
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 2024397
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License Number State | OH
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