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General NPI Number Information
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NPI Number | 1538178041
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Entity Type | Organization
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Legal Business Name | OTTERBEIN HOME HEALTH, LLC
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 570 N STATE ROUTE 741 # 222
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City | LEBANON
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State | OH
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Zip | 45036-8839
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Country | US
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Telephone | 513-696-8565
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Fax | 513-696-8563
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Provider Business Mailing Address
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Address Line | 3855 LOWER MARKET ST STE 300
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City | LEBANON
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State | OH
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Zip | 45036-7654
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Country | US
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Telephone | 513-933-5401
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Fax | 513-932-1054
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Authorized Official
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Title or Position | TREASURER & CFO
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Name | JAMES CHRIS GREEN
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Credential | CPA
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Telephone | 513-933-5418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 03828
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License Number State | OH
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