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General NPI Number Information
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NPI Number | 1659138824
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Entity Type | Organization
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Legal Business Name | AAA HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 25 WOODS LAKE RD STE 318
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City | GREENVILLE
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State | SC
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Zip | 29607-2762
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Country | US
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Telephone | 864-472-2269
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Fax | 864-964-7851
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Provider Business Mailing Address
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Address Line | 25 WOODS LAKE RD STE 318
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City | GREENVILLE
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State | SC
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Zip | 29607-2762
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Country | US
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Telephone | 864-472-2269
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | RAHSAAN LOURIS
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Credential |
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Telephone | 864-214-1983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 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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Taxonomy #3
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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 #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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