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General NPI Number Information
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NPI Number | 1922953470
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Entity Type | Organization
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Legal Business Name | HOME KOURT ADVANTAGE, LLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 202 E ARLINGTON BLVD STE D
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City | GREENVILLE
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State | NC
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Zip | 27858-5021
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Country | US
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Telephone | 252-341-4606
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1043
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City | GREENVILLE
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State | NC
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Zip | 27835-1043
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Country | US
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Telephone | 252-341-4606
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Fax |
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Authorized Official
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Title or Position | OWNER MANAGER
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Name | SHAMEKA LAWRENCE
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Credential |
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Telephone | 252-341-4606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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