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General NPI Number Information
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NPI Number | 1578426698
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Entity Type | Organization
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Legal Business Name | BASIS HOME HEALTH, L.L.C.
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 3505 JOHN F KENNEDY BLVD STE A
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72116-8839
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Country | US
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Telephone | 501-801-3814
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Fax |
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Provider Business Mailing Address
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Address Line | 425 W CAPITOL AVE STE 3800
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City | LITTLE ROCK
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State | AR
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Zip | 72201-3443
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Country | US
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Telephone | 501-801-3814
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. JENNY HOLT TEETER
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Credential |
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Telephone | 501-801-3814
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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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