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General NPI Number Information
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NPI Number | 1679092985
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Entity Type | Organization
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Legal Business Name | FOOTPRINTS HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 2310 WHITEWOOD AVE
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City | SPRING HILL
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State | FL
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Zip | 34609-5061
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Country | US
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Telephone | 813-345-7067
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Fax |
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Provider Business Mailing Address
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Address Line | 35324 SR 54
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541-1942
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Country | US
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Telephone | 813-395-5269
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | YVONNE LEKELEFAC
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Credential |
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Telephone | 260-579-6648
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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