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General NPI Number Information
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NPI Number | 1528900420
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Entity Type | Organization
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Legal Business Name | ELOUISE HOME CARE LLC
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 2304 SALEM PARK DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-7794
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Country | US
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Telephone | 317-480-6755
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Fax |
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Provider Business Mailing Address
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Address Line | 2304 SALEM PARK DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-7794
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Country | US
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Telephone | 317-480-6755
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MS. VICTORIA LYNN WASHINGTON
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Credential |
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Telephone | 317-480-6755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | NULL
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