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General NPI Number Information
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NPI Number | 1912741398
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Entity Type | Organization
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Legal Business Name | ELE PROFESSIONAL MEDICAL SERVICES, LLC
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Dates
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Enumeration Date | 06/21/2024
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 3247 DESERETTE CT
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City | COLUMBUS
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State | OH
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Zip | 43224-3779
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Country | US
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Telephone | 424-361-4002
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Fax |
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Provider Business Mailing Address
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Address Line | 3247 DESERETTE CT
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City | COLUMBUS
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State | OH
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Zip | 43224-3779
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Country | US
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Telephone | 424-361-4002
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. ELEGANT AFRIYIE
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Credential |
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Telephone | 424-361-4002
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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 | 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 #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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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 | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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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 | 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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Taxonomy #6
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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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 | 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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