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General NPI Number Information
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NPI Number | 1821889254
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Entity Type | Organization
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Legal Business Name | SELECT ONE HOME CARE SERVICES AND PRODUCTS LLC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 107 COMMONS WAY
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City | GREENVILLE
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State | SC
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Zip | 29611-3850
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Country | US
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Telephone | 864-520-1877
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Fax | 864-520-1897
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Provider Business Mailing Address
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Address Line | 107 GLEN ARBOR CT
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City | EASLEY
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State | SC
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Zip | 29642-2002
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Country | US
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Telephone | 843-957-7533
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Fax | 864-520-1897
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Authorized Official
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Title or Position | OWNER
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Name | MR. TOMMY DALE STANDRIDGE
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Credential |
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Telephone | 864-520-1877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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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 | 372600000X
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Taxonomy Name | Adult Companion
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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