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General NPI Number Information
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NPI Number | 1679662456
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Entity Type | Organization
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Legal Business Name | AMERICARE HOME HEALTH AGENCY LLC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 1615 S ALEX RD
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City | DAYTON
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State | OH
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Zip | 45449-5406
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Country | US
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Telephone | 937-287-8395
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Fax | 937-353-8357
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Provider Business Mailing Address
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Address Line | 1615 S ALEX RD
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City | DAYTON
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State | OH
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Zip | 45449-5406
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Country | US
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Telephone | 937-287-8395
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Fax | 937-353-8357
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | KIMBERLY ANN RANDOLPH
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Credential | L.P.N.
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Telephone | 937-353-8575
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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 | OH
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1563558
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License Number State | OH
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