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General NPI Number Information
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NPI Number | 1861387094
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Entity Type | Organization
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Legal Business Name | P.R.O.M.I.S.E HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 5600 W FOND DU LAC AVE
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City | MILWAUKEE
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State | WI
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Zip | 53216-1222
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Country | US
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Telephone | 414-451-8658
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Fax | 414-312-8313
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Provider Business Mailing Address
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Address Line | PO BOX 250276
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City | MILWAUKEE
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State | WI
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Zip | 53225-6502
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Country | US
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Telephone | 414-451-8658
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Fax | 414-312-8313
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ASEANTI N CALHOUN
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Credential | BSN-RN
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Telephone | 414-451-8658
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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 |
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License Number State |
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