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General NPI Number Information
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NPI Number | 1942809066
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Entity Type | Organization
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Legal Business Name | WELCOME GROUP HOME LLC
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 2000 N FLORIDA MANGO RD STE 207
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6443
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Country | US
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Telephone | 561-246-0809
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Fax | 561-530-2023
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Provider Business Mailing Address
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Address Line | 8616 WHITE CAY
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-5545
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Country | US
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Telephone | 561-246-0809
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Fax | 561-530-2023
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Authorized Official
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Title or Position | OWNER
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Name | MRS. RACHELLE CLERMONT
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Credential | RN, MSN
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Telephone | 561-246-0809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 376J00000X
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Taxonomy Name | Homemaker
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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 | 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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