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General NPI Number Information
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NPI Number | 1770106049
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Entity Type | Organization
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Legal Business Name | NESCARE LLC
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Dates
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Enumeration Date | 05/21/2020
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 4721 NE 66TH AVE APT 30
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City | VANCOUVER
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State | WA
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Zip | 98661-2462
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Country | US
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Telephone | 857-406-6461
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Fax |
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Provider Business Mailing Address
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Address Line | 14115 ASH MOUNTAIN LN
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City | CONROE
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State | TX
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Zip | 77384-2507
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Country | US
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Telephone | 936-577-7766
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NESLYN MATTHEW-SOPOREAN
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Credential |
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Telephone | 857-406-6461
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health 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 | 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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Taxonomy #4
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #5
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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 #6
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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