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General NPI Number Information
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NPI Number | 1790869766
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Entity Type | Organization
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Legal Business Name | HOMEWARD BOUND HOME HEALTH, INC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 205 W MAPLE ST STE 2
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City | LANCASTER
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State | WI
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Zip | 53813-1642
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Country | US
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Telephone | 608-723-6601
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Fax | 608-723-6616
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Provider Business Mailing Address
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Address Line | 130 WEST ELM STREET P.O. BOX 503
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City | LANCASTER
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State | WI
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Zip | 53813-0503
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Country | US
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Telephone | 608-723-6601
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Fax | 608-723-6616
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | KATHRYN A MILES
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Credential | RN
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Telephone | 608-723-6601
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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 | 330
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License Number State | WI
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