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General NPI Number Information
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NPI Number | 1528929718
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Entity Type | Organization
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Legal Business Name | EDENPAUL HOME HEALTH SERVICES
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 1425 EVERETT AVE APT 1
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City | LOUISVILLE
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State | KY
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Zip | 40204-2227
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Country | US
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Telephone | 502-931-0613
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 EVERETT AVE APT 1
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City | LOUISVILLE
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State | KY
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Zip | 40204-2227
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Country | US
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Telephone | 502-931-0613
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER PORTER
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Credential | RN
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Telephone | 502-931-0613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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