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General NPI Number Information
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NPI Number | 1740008721
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Entity Type | Organization
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Legal Business Name | CUDDLY CARE PERSONAL CARE SERVICES LLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 1410 FRANKLIN ST
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-3764
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Country | US
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Telephone | 219-243-7810
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Fax | 888-984-9144
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Provider Business Mailing Address
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Address Line | 1410 FRANKLIN ST
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-3764
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Country | US
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Telephone | 219-243-7810
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Fax | 888-984-9144
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELENA DUNCAN-CRUMB
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Credential |
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Telephone | 219-243-7810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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