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General NPI Number Information
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NPI Number | 1538067269
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Entity Type | Organization
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Legal Business Name | HOMETIME HEALTH VA LLC
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Dates
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Enumeration Date | 10/31/2026
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Last Update Date | 10/31/2026
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Provider Practice Location Address
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Address Line | 138 COMMANCHE DR
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City | HOHENWALD
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State | TN
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Zip | 38462-2221
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Country | US
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Telephone | 330-275-3755
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Fax | 330-275-3501
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Provider Business Mailing Address
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Address Line | 138 COMMANCHE DR
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City | HOHENWALD
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State | TN
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Zip | 38462-2221
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Country | US
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Telephone | 330-275-3755
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Fax | 330-275-3501
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIC ROBERTSON
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Credential |
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Telephone | 330-275-3755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 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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