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General NPI Number Information
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NPI Number | 1497324362
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Entity Type | Organization
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Legal Business Name | CAREGIVER HOMES OF MISSOURI, INC.
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 5975 CASTLE CREEK PARKWAY NORTH DR STE 425
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-4376
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Country | US
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Telephone | 866-797-2333
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Fax |
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Provider Business Mailing Address
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Address Line | 5975 CASTLE CREEK PARKWAY NORTH DR STE 425
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-4376
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | AMY SMITH
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Credential |
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Telephone | 617-797-0673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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