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General NPI Number Information
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NPI Number | 1619839982
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Entity Type | Organization
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Legal Business Name | CENTRA HOME-CARE SERVICES LLC
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 109 VALLEY ST # C
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City | WILLIMANTIC
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State | CT
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Zip | 06226-2653
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Country | US
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Telephone | 959-260-9498
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Fax | 959-260-9498
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Provider Business Mailing Address
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Address Line | 919 MAIN ST UNIT 863
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City | WILLIMANTIC
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State | CT
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Zip | 06226-7737
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Country | US
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Telephone | 959-260-9511
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Fax | 959-260-9511
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Authorized Official
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Title or Position | DIRECTOR OF SERVICES
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Name | UNITA C JONES
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Credential |
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Telephone | 959-260-9498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 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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