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General NPI Number Information
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NPI Number | 1518769033
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Entity Type | Organization
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Legal Business Name | ROBINS HEART SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 3011 PARKER GREEN TRL
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City | CHARLOTTE
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State | NC
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Zip | 28269-1489
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Country | US
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Telephone | 314-680-4858
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Fax |
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Provider Business Mailing Address
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Address Line | 3011 PARKER GREEN TRL
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City | CHARLOTTE
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State | NC
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Zip | 28269-1489
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Country | US
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Telephone | 314-680-4858
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TINA HARRIS
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Credential |
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Telephone | 314-680-4858
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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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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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