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General NPI Number Information
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NPI Number | 1780409425
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Entity Type | Organization
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Legal Business Name | CITA ANGELS HOMECARE LLC
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 5212 MADISON AVE STE G
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-4225
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Country | US
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Telephone | 463-206-2716
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Fax |
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Provider Business Mailing Address
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Address Line | 5212 MADISON AVE STE G
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-4225
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Country | US
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Telephone | 463-206-2716
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRANDEE C PATTERSON
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Credential |
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Telephone | 586-265-0252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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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 | 372500000X
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Taxonomy Name | Chore Provider
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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 | 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 #5
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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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Taxonomy #6
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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 #7
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #8
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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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