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General NPI Number Information
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NPI Number | 1841946969
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 02/28/2022
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 115 MAIN ST
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City | JACKSBORO
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State | TN
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Zip | 37757-2964
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Country | US
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Telephone | 423-201-1096
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Fax | 423-717-5682
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Provider Business Mailing Address
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Address Line | 115 MAIN ST
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City | JACKSBORO
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State | TN
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Zip | 37757-2964
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Country | US
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Telephone | 423-201-1096
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Fax | 423-717-5682
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Authorized Official
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Title or Position | OWNER/CEO
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Name | KATRINA COLLETTE
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Credential | LPN
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Telephone | 423-201-1096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care 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 | 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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