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General NPI Number Information
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NPI Number | 1790500890
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Entity Type | Organization
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Legal Business Name | KEY TO CARE HOME CARE SERVICES, LLC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 2560 GALAXY LN
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City | INDIANAPOLIS
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State | IN
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Zip | 46229-1124
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Country | US
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Telephone | 317-840-9714
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Fax |
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Provider Business Mailing Address
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Address Line | 2560 GALAXY LN
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City | INDIANAPOLIS
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State | IN
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Zip | 46229-1124
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Country | US
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Telephone | 317-840-9714
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KIERRA MASON
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Credential |
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Telephone | 317-840-9714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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