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General NPI Number Information
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NPI Number | 1700712817
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Entity Type | Organization
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Legal Business Name | THE HOMESTEAD OF COSHOCTON
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 48241 GENESIS DRIVE
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City | COSHOCTON
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State | OH
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Zip | 43812
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Country | US
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Telephone | 740-295-8880
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Fax | 330-299-8568
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Provider Business Mailing Address
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Address Line | 48241 GENESIS DRIVE
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City | COSHOCTON
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State | OH
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Zip | 43812
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Country | US
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Telephone | 740-295-8880
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Fax | 330-299-8568
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TANA FISCHER
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Credential | RN, CEAL, CDP
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Telephone | 740-502-6949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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