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General NPI Number Information
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NPI Number | 1790533966
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Entity Type | Organization
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Legal Business Name | EVERSTAR HOME CARE, LLC
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Dates
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Enumeration Date | 05/10/2024
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 8530 CROOKED TREE LN
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City | LAUREL
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State | MD
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Zip | 20724-2491
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Country | US
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Telephone | 443-537-9650
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Fax |
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Provider Business Mailing Address
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Address Line | 8530 CROOKED TREE LN
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City | LAUREL
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State | MD
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Zip | 20724-2491
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MATTHEW EICHIE
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Credential |
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Telephone | 443-537-9650
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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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