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General NPI Number Information
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NPI Number | 1881476554
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Entity Type | Organization
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Legal Business Name | CARE AT HOME, LLC
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Dates
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Enumeration Date | 10/17/2023
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 9990 COCONUT RD, SUITE 314
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-3413
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Country | US
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Telephone | 239-296-5000
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Fax | 239-320-3318
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Provider Business Mailing Address
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Address Line | 10564 ESPANOLA DR
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-5378
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Country | US
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Telephone | 239-919-6679
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Fax |
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Authorized Official
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Title or Position | COO
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Name | YVONNE BARILLAS
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Credential | MBA, BSN, RN
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Telephone | 239-919-6679
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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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