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General NPI Number Information
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NPI Number | 1508681271
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Entity Type | Organization
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Legal Business Name | GOOD MORNING HOMES CORP
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 4254 TROOST AVE
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City | KANSAS CITY
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State | MO
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Zip | 64110-1240
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Country | US
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Telephone | 816-405-0386
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Fax | 510-319-8402
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Provider Business Mailing Address
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Address Line | 4254 TROOST AVE
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City | KANSAS CITY
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State | MO
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Zip | 64110-1240
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Country | US
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Telephone | 816-405-0386
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Fax | 510-319-8402
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | TAMIKA CLARK
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Credential | NP
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Telephone | 816-977-5341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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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