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General NPI Number Information
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NPI Number | 1790478329
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Entity Type | Organization
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Legal Business Name | HONESTY HOME CARE LLC
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 3564 235TH LN NW
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City | SAINT FRANCIS
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State | MN
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Zip | 55070-5400
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Country | US
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Telephone | 763-516-8545
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Fax |
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Provider Business Mailing Address
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Address Line | 3564 235TH LN NW
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City | SAINT FRANCIS
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State | MN
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Zip | 55070-5400
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Country | US
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Telephone | 763-516-8545
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OPHELIA KPEWOAN
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Credential |
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Telephone | 763-516-8545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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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 | 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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