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General NPI Number Information
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NPI Number | 1770354029
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Entity Type | Organization
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Legal Business Name | ANGEL HANDS HOME CARE INC
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 6214 MORENCI TRL STE 150
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-4871
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Country | US
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Telephone | 317-450-8395
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Fax |
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Provider Business Mailing Address
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Address Line | 6429 KENTSTONE DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-4864
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Country | US
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Telephone | 317-450-8395
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SUNDAY LARRY OMOTOSO
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Credential |
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Telephone | 317-450-8395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 376J00000X
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Taxonomy Name | Homemaker
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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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