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NPI 1922131093

NPI 1922131093 : AT YOUR SERVICE HOME CARE, INC. : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1922131093
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    Entity Type          |    Organization 
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    Legal Business Name  |    AT YOUR SERVICE HOME CARE, INC. 
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Dates
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    Enumeration Date     |    03/14/2007
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    Last Update Date     |    02/14/2008
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Provider Practice Location Address
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    Address Line         |    4701 N KEYSTONE AVE SUITE # 400
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46205-1554
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    Country              |    US
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    Telephone            |    317-722-8220
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    Fax                  |    317-722-8290
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Provider Business Mailing Address
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    Address Line         |    4701 N KEYSTONE AVE SUITE # 400
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46205-1554
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    Country              |    US
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    Telephone            |    317-722-8220
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    Fax                  |    317-722-8290
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Authorized Official
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    Title or Position    |    PRESIDENT & CEO
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    Name                 |    MR. JOHN  PIPAS 
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    Credential           |    
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    Telephone            |    317-722-8200
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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 |    IN
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