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General NPI Number Information
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NPI Number | 1710541867
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Entity Type | Organization
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Legal Business Name | ADMINISTER IN HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 04/24/2019
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 145 N CHURCH ST UNIT 108
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City | SPARTANBURG
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State | SC
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Zip | 29306-5146
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Country | US
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Telephone | 864-707-3900
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Fax | 864-208-3392
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Provider Business Mailing Address
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Address Line | 145 N CHURCH ST UNIT 108
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City | SPARTANBURG
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State | SC
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Zip | 29306-5146
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Country | US
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Telephone | 864-707-3900
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Fax | 864-208-3392
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Authorized Official
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Title or Position | OWNER
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Name | MS. KEYATTA SHARDAI BIGSBY
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Credential |
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Telephone | 864-529-4250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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