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NPI 1649117128

NPI 1649117128 : EPIPHANY IN HOME INC : SAINT LOUIS, MO

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General NPI Number Information
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    NPI Number           |    1649117128
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    Entity Type          |    Organization 
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    Legal Business Name  |    EPIPHANY IN HOME INC 
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Dates
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    Enumeration Date     |    05/01/2026
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    Last Update Date     |    05/01/2026
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Provider Practice Location Address
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    Address Line         |    3431 LOCUST ST 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63103-1113
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    Country              |    US
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    Telephone            |    314-348-2703
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    120 JOST MANOR DR 
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    City                 |    FLORISSANT
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    State                |    MO
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    Zip                  |    63034-2269
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    Country              |    US
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    Telephone            |    314-249-5384
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LOUISE  THOMAS 
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    Credential           |    
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    Telephone            |    314-249-5384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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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        |    3747A0650X
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    Taxonomy Name        |    Attendant Care Provider
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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        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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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        |    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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