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General NPI Number Information
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NPI Number | 1598653966
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Entity Type | Organization
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Legal Business Name | CARRINGTON HOME CARE AGENCY LLC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 2810 E OAKLAND PARK BLVD UNIT 200-18
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1801
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Country | US
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Telephone | 706-410-2740
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Fax |
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Provider Business Mailing Address
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Address Line | 4745 WARM SPRINGS RD STE A
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City | COLUMBUS
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State | GA
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Zip | 31909-7310
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Country | US
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Telephone | 706-410-2740
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DYLAN KOLATH
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Credential |
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Telephone | 678-684-7341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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