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General NPI Number Information
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NPI Number | 1609760255
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Entity Type | Organization
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Legal Business Name | FIRST CARE HOMES LLC
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 404 S SUTHERLAND AVE
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City | MONROE
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State | NC
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Zip | 28112-5060
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Country | US
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Telephone | 704-989-0508
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Fax |
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Provider Business Mailing Address
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Address Line | 404 S SUTHERLAND AVE
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City | MONROE
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State | NC
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Zip | 28112-5060
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Country | US
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Telephone | 704-989-0508
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. OBINNAYA OKWARA
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Credential |
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Telephone | 704-989-0508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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