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General NPI Number Information
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NPI Number | 1568396927
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Entity Type | Organization
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Legal Business Name | GOOD-NATURED HOMECARE
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 1601 CEDAR LANE RD STE 18
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City | GREENVILLE
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State | SC
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Zip | 29617-2347
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Country | US
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Telephone | 864-887-4391
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Fax |
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Provider Business Mailing Address
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Address Line | 6650 RIVERS AVE STE 100
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4809
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Country | US
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Telephone | 864-887-4391
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DIAMOND CANNON
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Credential |
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Telephone | 864-887-4391
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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 |
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License Number State |
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