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General NPI Number Information
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NPI Number | 1891655031
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Entity Type | Organization
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Legal Business Name | BORN TO CARE, LLC
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 827 BIG BETHEL RD
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City | HAMPTON
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State | VA
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Zip | 23666-2803
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Country | US
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Telephone | 757-323-7272
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Fax |
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Provider Business Mailing Address
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Address Line | 827 BIG BETHEL RD
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City | HAMPTON
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State | VA
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Zip | 23666-2803
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Country | US
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Telephone | 757-323-7272
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | JASMINE RENEAU POTTER
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Credential | NHA, RMA
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Telephone | 757-323-7272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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