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General NPI Number Information
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NPI Number | 1740994771
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Entity Type | Organization
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Legal Business Name | CHARLOTTE'S HOME CARE LLC
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 11701 INTERSTATE 30 STE 510
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City | LITTLE ROCK
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State | AR
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Zip | 72209-7075
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Country | US
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Telephone | 501-747-1771
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Fax |
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Provider Business Mailing Address
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Address Line | 7407 PINEWOOD DR
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City | MABELVALE
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State | AR
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Zip | 72103-4338
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Country | US
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Telephone | 501-765-4230
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Fax |
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | CHARLOTTE BUTLER
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Credential |
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Telephone | 501-747-1771
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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 | 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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