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General NPI Number Information
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NPI Number | 1487528121
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Entity Type | Organization
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Legal Business Name | KIM CARES PRIVATE DUTY HOME CARE
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Dates
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Enumeration Date | 10/04/2025
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 6417 BAUERVIC BLVD
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-2237
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Country | US
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Telephone | 248-688-0576
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Fax |
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Provider Business Mailing Address
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Address Line | 18643 SCHAEFER HWY
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City | DETROIT
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State | MI
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Zip | 48235-1755
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Country | US
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Telephone | 248-688-0576
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Fax |
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Authorized Official
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Title or Position | PRIVATE DUTY CARE DIRECTOR
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Name | MRS. KIMBERLY HASSEL
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Credential | CPR, CHHA, CNA
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Telephone | 248-880-0258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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Taxonomy #3
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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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