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General NPI Number Information
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NPI Number | 1669323598
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Entity Type | Organization
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Legal Business Name | RISING STAR HOME CARE SERVICES
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 1018 STATE HWY 755 SUITE D
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City | EDGEWOOD
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State | MD
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Zip | 21040
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Country | US
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Telephone | 443-402-1039
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Fax | 443-402-1317
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Provider Business Mailing Address
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Address Line | 1018 STATE HWY 755 SUITE D
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City | EDGEWOOD
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State | MD
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Zip | 21040
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Country | US
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Telephone | 443-402-1039
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Fax | 443-402-1317
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MR. SHEM NGETICH
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Credential | PRESIDENT
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Telephone | 240-413-9984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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