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General NPI Number Information
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NPI Number | 1588470249
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Entity Type | Organization
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Legal Business Name | RESTORE CARE HOME CARE, LLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 2333 ROSTOCK CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46229-2397
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Country | US
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Telephone | 901-609-5211
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Fax |
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Provider Business Mailing Address
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Address Line | 2333 ROSTOCK CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46229-2397
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Country | US
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Telephone | 901-609-5211
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | JENISE DUNN
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Credential |
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Telephone | 317-418-8124
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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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