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General NPI Number Information
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NPI Number | 1528028487
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Entity Type | Organization
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Legal Business Name | HOME CARE HEALTH SERVICES INC
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 1414 S MAYO TRL
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City | PIKEVILLE
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State | KY
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Zip | 41501-2206
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Country | US
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Telephone | 606-432-2111
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Fax | 606-437-1000
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Provider Business Mailing Address
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Address Line | 1414 S MAYO TRL
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City | PIKEVILLE
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State | KY
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Zip | 41501-2206
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Country | US
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Telephone | 606-432-2111
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Fax | 606-437-1000
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. CHARLES E BRANHAM
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Credential | CPB
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Telephone | 606-432-2111
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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 | 150075
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 150075
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider 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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 150075
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License Number State | KY
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