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General NPI Number Information
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NPI Number | 1881773638
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Entity Type | Organization
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Legal Business Name | PERSONAL HOMECARE INC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 860 N MECKLENBURG AVE
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City | SOUTH HILL
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State | VA
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Zip | 23970
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Country | US
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Telephone | 434-447-8820
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Fax | 434-447-8823
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Provider Business Mailing Address
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Address Line | 860 N MECKLENBURG AVE
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City | SOUTH HILL
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State | VA
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Zip | 23970
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Country | US
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Telephone | 434-447-8820
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Fax | 434-447-8823
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALFRED LEE BURKHOLDER III
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Credential |
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Telephone | 434-572-1582
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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 | 251B00000X
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Taxonomy Name | Case Management 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 | 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 #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #10
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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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