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General NPI Number Information
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NPI Number | 1477319606
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Entity Type | Organization
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Legal Business Name | LIFETIME HOME CARE LLC
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 1501 MAIN STREET COLUMBIA, SC 29201 501
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City | COLUMBIA
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State | SC
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Zip | 29201
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Country | US
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Telephone | 803-233-2221
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 MAIN ST COLUMBIA, SC 29201 501
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City | COLUMBIA
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State | SC
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Zip | 29201
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Country | US
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Telephone | 305-528-1722
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HORACE KEARSE
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Credential |
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Telephone | 803-233-2221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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