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General NPI Number Information
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NPI Number | 1699561167
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Entity Type | Organization
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Legal Business Name | NC CARE HOME LLC
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Dates
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Enumeration Date | 04/19/2025
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 6092 RALEIGH ST
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City | SPRING HILL
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State | FL
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Zip | 34606-4045
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Country | US
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Telephone | 813-279-3151
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Fax |
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Provider Business Mailing Address
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Address Line | 6092 RALEIGH ST
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City | SPRING HILL
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State | FL
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Zip | 34606-4045
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Country | US
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Telephone | 813-279-3151
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | MS. YADANY MACEIRA
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Credential |
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Telephone | 813-279-3151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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