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General NPI Number Information
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NPI Number | 1831026319
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Entity Type | Organization
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Legal Business Name | ENDLESS SMILES HOME CARE LLC
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 10217 LAKE TAHOE CT
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City | FORT WAYNE
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State | IN
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Zip | 46804-6916
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Country | US
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Telephone | 260-515-2956
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Fax |
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Provider Business Mailing Address
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Address Line | 10217 LAKE TAHOE CT
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City | FORT WAYNE
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State | IN
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Zip | 46804-6916
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Country | US
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Telephone | 260-515-2956
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VALERIE BOWEN
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Credential |
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Telephone | 260-515-2956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 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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