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General NPI Number Information
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NPI Number | 1508238510
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Entity Type | Organization
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Legal Business Name | HOME INSTEAD SENIOR CARE
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Dates
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Enumeration Date | 10/29/2015
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Last Update Date | 10/29/2015
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Provider Practice Location Address
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Address Line | 7650 FIRST PL BULIDING B, STE H
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City | OAKWOOD VILLAGE
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State | OH
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Zip | 44146-6713
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Country | US
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Telephone | 440-914-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 7650 FIRST PL BULIDING B, STE H
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City | OAKWOOD VILLAGE
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State | OH
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Zip | 44146-6713
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Country | US
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Telephone | 440-914-1400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. SCOTT RADCLIFFE
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Credential |
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Telephone | 440-914-1400
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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 | 2063876
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License Number State | OH
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