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General NPI Number Information
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NPI Number | 1699268201
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Entity Type | Organization
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Legal Business Name | LIFE AT HOME SENIOR CARE, LLC
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 8300 BROADWAY STE G1
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6251
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Country | US
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Telephone | 219-844-9672
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Fax | 219-359-2409
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Provider Business Mailing Address
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Address Line | 8300 BROADWAY STE G1
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6251
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Country | US
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Telephone | 219-844-9672
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Fax | 219-359-2409
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Authorized Official
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Title or Position | AGENCY DIRECTOR
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Name | BARBARA CARPURE
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Credential |
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Telephone | 219-844-9672
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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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