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General NPI Number Information
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NPI Number | 1689979965
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Entity Type | Organization
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Legal Business Name | SELECT HOME HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 01/19/2011
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 650 E CARMEL DR STE 400
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City | CARMEL
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State | IN
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Zip | 46032-2867
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Country | US
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Telephone | 317-804-8996
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Fax |
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Provider Business Mailing Address
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Address Line | 650 E CARMEL DR STE 400
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City | CARMEL
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State | IN
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Zip | 46032-2867
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Country | US
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Telephone | 317-804-8996
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROBERT A RADICS
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Credential |
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Telephone | 404-787-1570
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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 | 11-012550-1
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License Number State | IN
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