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General NPI Number Information
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NPI Number | 1720958929
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Entity Type | Organization
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Legal Business Name | STAR IN HOME CARE LLC HOME HEALTH
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 155 E MARKET ST FL 7
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-3294
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Country | US
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Telephone | 501-563-5281
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Fax | 501-762-8068
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Provider Business Mailing Address
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Address Line | 16 MARCHWOOD CV
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City | LITTLE ROCK
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State | AR
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Zip | 72210-3704
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Country | US
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Telephone | 501-563-5281
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Fax | 501-762-8068
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Authorized Official
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Title or Position | PRESIDENT - CEO
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Name | CLARISE MICHELLE TATUM
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Credential |
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Telephone | 501-563-5281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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