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General NPI Number Information
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NPI Number | 1528995560
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Entity Type | Organization
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Legal Business Name | EVERRA CARE LLC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 2668 ORONO PIKE
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-4151
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Country | US
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Telephone | 763-327-7830
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Fax |
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Provider Business Mailing Address
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Address Line | 2668 ORONO PIKE
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-4151
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Country | US
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Telephone | 763-327-7830
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BASHIR MOHAMED
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Credential |
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Telephone | 763-327-7830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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