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General NPI Number Information
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NPI Number | 1841335908
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Entity Type | Organization
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Legal Business Name | CAPITAL HOME HEALTH, LLC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 306 E 19TH ST STE B
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City | PANAMA CITY
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State | FL
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Zip | 32405-4718
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Country | US
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Telephone | 850-553-4002
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Fax | 850-553-4004
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Provider Business Mailing Address
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Address Line | 4655 SALISBURY RD STE 110
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0957
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Country | US
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Telephone | 904-733-1003
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Fax | 904-448-8855
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Authorized Official
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Title or Position | SECRETARY & CAO
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Name | MR. ROBERT G YOUNG
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Credential |
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Telephone | 904-733-1003
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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 | 20500096
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License Number State | FL
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