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NPI 1881330108

NPI 1881330108 : SAFE AT HOME SIDNEY : SIDNEY, NE

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General NPI Number Information
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    NPI Number           |    1881330108
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAFE AT HOME SIDNEY 
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Dates
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    Enumeration Date     |    05/10/2022
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    Last Update Date     |    02/04/2025
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Provider Practice Location Address
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    Address Line         |    925 10TH AVE 
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    City                 |    SIDNEY
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    State                |    NE
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    Zip                  |    69162-1609
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    Country              |    US
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    Telephone            |    308-249-0718
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    Fax                  |    308-365-6868
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Provider Business Mailing Address
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    Address Line         |    925 10TH AVE 
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    City                 |    SIDNEY
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    State                |    NE
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    Zip                  |    69162-1609
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    Country              |    US
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    Telephone            |    308-249-0718
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    Fax                  |    308-365-6868
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. AMBER ANN FIELDS 
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    Credential           |    
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    Telephone            |    308-249-0718
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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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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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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        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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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        |    372500000X
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    Taxonomy Name        |    Chore Provider
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    License Number       |    
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    License Number State |    
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