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General NPI Number Information
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NPI Number | 1487345534
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Entity Type | Organization
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Legal Business Name | HEEBEE HOME CARE AGENCY
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 6364 W 37TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46224-1102
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Country | US
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Telephone | 317-743-6995
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Fax |
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Provider Business Mailing Address
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Address Line | 8332 OSSIAN CT
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City | CAMBY
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State | IN
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Zip | 46113-8722
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Country | US
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Telephone | 301-364-6594
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | IBIRONKE HAMPTON
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Credential |
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Telephone | 130-136-4659
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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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